Kelcey Bullock

NPI #1851713812 in Pine Bluffs, Wyoming

Provider Information

NPI Number: 1851713812
Entity Type: Individual
Name: Kelcey Bullock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Jan 10, 2014
Last Updated: Jan 10, 2014

Practice Location

Address: 805 PINE ST
City: Pine Bluffs
State: Wyoming
ZIP Code: 82082
Phone: (307) 245-3444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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