Individual
MAKAYLA GAIL BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 GLENWAY RD, WINCHESTER, KY 40391-8991
(859) 744-1800
Mailing address
805 N WHITTINGTON PKWY FL 4, LOUISVILLE, KY 40222-7101
(502) 272-3434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05220429
KY
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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