Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENT BULLIS, MD
ActiveDR. KENT BULLIS, MD is a Addiction Medicine healthcare provider located in ITHACA, New York. NPI 1710079736 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine · ITHACA, NY
Registration Details
- NPI Number
- 1710079736
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2006 (19.833337098261 yrs)
- Last Updated
- Sep 26, 2013
- License
-
1034097 (IN)
Practice Information
- Address
-
110 HO PLZITHACA, NY, 148533102Browse NY providers · Browse ZIP 14853
- Phone
- 6072555155
- Primary Specialty
-
Addiction Medicine
207QA0000X
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.