Individual
DR. KELVIN W BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 MAIN ST, TEWKSBURY, MA 01876-4725
(978) 851-3987
Mailing address
1501 MAIN ST, TEWKSBURY, MA 01876-4725
(978) 851-3987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3469
MA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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