Individual
DIANA GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7034
(606) 833-3605
Mailing address
11232 MEADOW LN, ASHLAND, KY 41102-7910
(606) 928-9452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009063
KY
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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