Individual
C. KEVIN BULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11019 CANYON RD E, STE. A, PUYALLUP, WA 98373-3001
(253) 537-0293
(253) 537-7650
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(253) 537-0293
(253) 537-7650
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023183
WA
Other
Enumeration date
07/07/2005
Last updated
09/11/2020
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