Search › Nebraska › 207Q00000X
Kelly Bullock, D.O
NPI 1407941057 · on the registry since 2006 · sole proprietor
Practice
- Address
- 106 E Wayne St
Randolph, NE 68771 - Phone
- (402) 337-0200
- Fax
- (402) 337-1020
- Organisation at this address
- Osmond General Hospital Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska