Individual
KACI GULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2001 HUTCHINS AVE STE C, BALLINGER, TX 76821-4453
(325) 365-5737
(325) 365-2405
Mailing address
2001 HUTCHINS AVE STE C, BALLINGER, TX 76821-4453
(325) 365-5737
(325) 365-2405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1071334
TX
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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