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Kyle Bullock
NPI 1255275509 · on the registry since 2026
Practice
- Address
- 1968 Kendall St
Detroit, MI 48238 - Phone
- (313) 899-0460
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan