Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN PULLYBLANK, AT
Active Sole ProprietorKEVIN PULLYBLANK, AT is a Athletic Trainer healthcare provider located in CALEDONIA, New York. NPI 1114303245 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CALEDONIA, NY
Registration Details
- NPI Number
- 1114303245
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2015 (10.999916248227 yrs)
- Last Updated
- Jul 30, 2015
- License
-
004450 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3193 JANE STCALEDONIA, NY, 144231024Browse NY providers · Browse ZIP 14423
- Phone
- 5859449277
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.