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Contact Information

ASHLEY BULLOCK, MD
711 MARSHALL ST
LEAVENWORTH, KS66048-3235
 Phone: 913-684-1144
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ASHLEY BULLOCK · (Female)

NPI Number 1669850046
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2015
Last updated 09/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0440918
Hospital affiliation(s)
  • PROVIDENCE MEDICAL CENTER - (Acute Care)
    8929 PARALLEL PARKWAY
    KANSAS CITY, KS 66112
  • SAINT JOHN HOSPITAL - (Acute Care)
    3500 SOUTH 4TH STREET
    LEAVENWORTH, KS 66048
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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