Individual provider · Type 1 NPI

Todd E. Bullock, APRN

Family Nurse Practitioner · Caneyville, KY

NPI number 1104822360 Active

Practice location

301 Sunset Dr
Caneyville, KY 42721-9172

Fax (270) 879-8674

Mailing address

908 Wallace Ave
Leitchfield, KY 42754-1479

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3004076 (KY)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1104822360

Todd E. Bullock, APRN's National Provider Identifier is 1104822360, issued on Jun 22, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Caneyville, KY. The record was last updated on Nov 14, 2018.