Trent Duane Bullock
Trent Duane Bullock is a Prosthetic/Orthotic Supplier in Henderson, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
137 2nd StHenderson, KY 42420-3135
Phone: (270) 860-9785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1477018521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 4, 2019 |
| Last updated in NPPES | February 4, 2019 |
| Mailing address | 137 2nd St, Henderson, KY 42420-3135 |