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

Kyle Jahmal Bullock

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255275509

Kyle Jahmal Bullock is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

1968 Kendall St
Detroit, MI 48238-2937
Phone: (313) 899-0460
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4704375817 (MI)

Record details

NPI number1255275509
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2026
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026

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