MS. KATHLEEN MARY BULLOCK RN NPI 1689885964

NPI Information

NPI: 1689885964
Provider Name: MS. KATHLEEN MARY BULLOCK, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1 FARMINGDALE RD
WEST BABYLON, NY
ZIP 11704
Phone: (631) 669-5355
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MS. Kathleen Mary Bullock, RN is a psychiatric/mental health registered nurse in West Babylon, NY. MS. Kathleen Mary Bullock, RN NPI is 1689885964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 FARMINGDALE RD
WEST BABYLON, NY
ZIP 11704-545
Phone: (631) 669-5355

The enumeration date for this NPI number is 5/25/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	388559	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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