Dr. Kelly Leigh Bullock, DO
Dr. Kelly Leigh Bullock, DO is a Family Practice in Randolph, Nebraska. Qualified in 2000, 26 years ago. Practices with Osmond General Hospital Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Nebraska.
- Years since qualifying
- 26
- Licensed in
- NE
- In the registry since
- 2006
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
106 E Wayne StRandolph, NE 68771-5300
Phone: (402) 337-0200
Fax: (402) 337-1020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 461 (NE) |
|---|
Record details
| NPI number | 1407941057 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | October 3, 2006 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Osmond General Hospital Inc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Randolph
-
Dr. David Mwebe, MD
106 E Wayne St, Randolph, NE 68771-5300 · (402) 337-0200
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Osmond General Hospital Inc
106 E Wayne St, Randolph, NE 68771-5300 · (402) 337-0200