Individual
KRISTIN GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 MARKET ST APT 1I, PORTSMOUTH, OH 45662-3882
(740) 352-5446
Mailing address
12439 STATE ROUTE 335 UNIT 2, LUCASVILLE, OH 45648-9098
(740) 464-7995
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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