Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEVIN B BULLARD, MPT
ActiveMR. KEVIN B BULLARD, MPT is a Physical Therapy Assistant healthcare provider located in TABOR CITY, North Carolina. NPI 1639111594 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · TABOR CITY, NC
Registration Details
- NPI Number
- 1639111594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (20.141953154161 yrs)
- Last Updated
- Dec 28, 2016
- License
-
10244 (NC)
Practice Information
- Address
-
107 LIVE OAK STSTE CTABOR CITY, NC, 284632043Browse NC providers · Browse ZIP 28463
- Phone
- 2527520998
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.