Individual
KRISTIN NICOLE BULKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 BARCLAY CIR STE 150, ROCHESTER HILLS, MI 48307-4587
(248) 299-5777
(248) 299-6917
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1848
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009620
MI
Other
Enumeration date
12/02/2019
Last updated
05/14/2026
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