Individual provider · Type 1 NPI

Kristi A. Bullock, PA

Physician Assistant · Davenport, IA

NPI number 1760458178 Active

Practice location

5350 Eastern Ave.
Davenport, IA 52807-2709

Call (563) 355-1853 Map

Fax (563) 359-1512

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X001204 (IA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760458178

Kristi A. Bullock, PA's National Provider Identifier is 1760458178, issued on Feb 24, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Davenport, IA. The record was last updated on Oct 6, 2017.