Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kylasia Bullard

Individual provider Licensed Practical Nurse · NPI 1295660850

Kylasia Bullard is a Licensed Practical Nurse in Mastic, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

64 Bedford Ave
Mastic, NY 11950-3404
Phone: (631) 461-2428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 349985 (NY)

Record details

NPI number1295660850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

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