Individual
KAITLYN ELIZABETH BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2005 BAY ST, TAUNTON, MA 02780-1085
(508) 828-7000
Mailing address
7 MARTHAS VINEYARD DR, MATTAPOISETT, MA 02739-1810
(774) 291-9470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2324940
MA
Other
Enumeration date
02/16/2022
Last updated
09/01/2024
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