NPI 1023553096

Kristina Lynne Bullock, PAC

Practitioner Physician Assistant Cary, NC

Practice location

Address: 115 Kildaire Park Dr STE 205, Cary, NC 27518-8127
Phone: (919) 787-7246
Fax: (919) 787-7247
Mailing address: 3801 Wake Forest Rd STE 210, Raleigh, NC 27609-6864

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 219961 (NC)

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1023553096
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2016
Record last updated: 1 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.