Individual
KIMBERLY DAWN BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
WAMC / MEDCOM, 2817 REILLY ROAD, FORT BRAGG, NC 28310
(910) 907-8617
Mailing address
WOMACK ARMY MEDICAL CENTER, 2817 REILLY ROAD, FORT BRAGG, NC 28310
(910) 907-8617
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
138163
NC
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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