James Kyle Bullock
James Kyle Bullock is a Case Manager/Care Coordinator in Provo, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
750 N Freedom BlvdProvo, UT 84601-1677
Phone: (801) 373-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1760103972 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 6, 2022 |
| Last updated in NPPES | September 6, 2022 |
| Certification date | September 6, 2022 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
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