Individual
KIMBERLY BROOKE BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HOSPITAL CENTER BLVD, STAFFORD, VA 22554-6200
(540) 741-9000
Mailing address
7806 CHANCELLORS POND LN, FREDERICKSBURG, VA 22407-8765
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136001137
VA
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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