KYLE JAHMAL BULLOCK
NPI 1255275509
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 16, 2026
1968 KENDALL ST, DETROIT, MI 48238(313) 899-0460 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kyle Jahmal Bullock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE JAHMAL BULLOCK (NPI 1255275509) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4704375817) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1255275509
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE JAHMAL BULLOCK
Location Address1968 KENDALL STDetroit, MI 48238-2937
Mailing Address1968 Kendall StDetroit, MI 48238-2937
Sole ProprietorNo
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1255275509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in MI · 4704375817
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1968 KENDALL ST, Detroit, MI 48238

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health Aide
1968 KENDALL ST
DETROIT, MI 48238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Bullock's NPI number?

The NPI number for Kyle Bullock is 1255275509. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Kyle Bullock located?

Kyle Bullock practices at 1968 Kendall St, Detroit, MI 48238. The listed phone number is (313) 899-0460.

What is Kyle Bullock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kyle Bullock was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.