Individual provider · Type 1 NPI

Kent Bullis, MD

Adolescent Medicine (Family Medicine) Physician · Ithaca, NY

NPI number 1710079736 Active

Practice location

110 Ho Plz
Ithaca, NY 14853-3102

Call (607) 255-5155 Map

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000X1034097 (IN)

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

44 other providers at this address

About NPI 1710079736

Kent Bullis, MD's National Provider Identifier is 1710079736, issued on Sep 28, 2006. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Ithaca, NY. The record was last updated on Sep 26, 2013.