Individual
KEVIN THOMAS GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9000
Mailing address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35126047
OH
Other
Enumeration date
04/01/2012
Last updated
08/03/2015
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