Individual
CYNTHIA L. BULLARD-KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 S MAIN ST, HIGH POINT, NC 27260-4425
(336) 885-5200
(336) 885-5250
Mailing address
1920 S MAIN ST, HIGH POINT, NC 27260-4425
(336) 885-5200
(336) 885-5250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0827K
BLUE CROSS BLUE SHIELD
NC
05
—
890827K
—
NC
Enumeration date
01/04/2007
Last updated
11/15/2007
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