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Dr. Kent Bullis, MD
Adolescent Medicine (Family Medicine) Physician in Ithaca, New York
NPI 1710079736

Kent Bullis is an Adolescent Medicine (Family Medicine) Physician based in Ithaca, NY and is specialized in Adolescent Medicine. Kent Bullis practices in Ithaca, NY and has the professional credentials of MD. The NPI Number for Kent Bullis is 1710079736 and holds a License No. 1034097 (New York).

The current practice location address for Kent Bullis is 110 Ho Plz, Ithaca, NY and can be reached out via phone at 607-255-5155.

Location: 110 Ho Plz, Ithaca, NY, 14853-3102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710079736
Provider Name
Kent Bullis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
110 Ho Plz, Ithaca, NY, 14853-3102
Phone Number
607-255-5155
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
110 Ho Plz
City
Ithaca
State
New York
Zip
14853-3102
Phone Number
607-255-5155
Fax Number
person
Provider Business Mailing Address Details
Address
110 Ho Plz
City
Ithaca
State
New York
Zip
14853-3102
Phone Number
607-255-5155
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
1034097 (Indiana)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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