C. Kevin Bulley M.D.

NPI 1083611768 - Family Medicine - 207Q00000X

NPI Details
NPI 1083611768
Gender Male
Enumeration Date 07/07/2005
Last Updated 07/30/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
11019 CANYON RD E
STE. A
PUYALLUP WA, 98373-3001, US
Phone (253) 537-0293
Fax (253) 537-7650
Business Location
11019 CANYON RD E
STE. A
PUYALLUP WA, 98373-3001, US
Phone (253) 537-0293
Fax (253) 537-7650
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number MD00023183
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According to our database, C. Kevin Bulley M.D. NPI is 1083611768, taxonomy code is 207Q00000X and license number is MD00023183, license state is located at Washington. C. Kevin Bulley M.D. physically located at 11019 Canyon Rd E, Puyallup WA, 98373-3001. NPI Number C. Kevin Bulley M.D. has the Individual type.

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1083611768 NPI number is provided on an as is basis without warranty of any kind. 1083611768 is maintained by the National Plan & Provider Enumeration System. The contents of C. Kevin Bulley M.D. are for informational purposes only.