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KAYLIE ASHLYNN BULLOCK MD
NPI 1659029833
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 16, 2022
355 W 16TH ST STE 4300, INDIANAPOLIS, IN 46202(317) 963-2011 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Mar 21, 2023 (2 updates tracked since 2023).

About Kaylie Ashlynn Bullock Md NPPES

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

KAYLIE ASHLYNN BULLOCK MD (NPI 1659029833) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1659029833
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAYLIE ASHLYNN BULLOCKCredential: MD
Location Address355 W 16TH ST STE 4300Indianapolis, IN 46202-2394
Mailing Address355 W 16th St Ste 4300Indianapolis, IN 46202-2394 · (317) 963-2011
Phone(317) 963-2011
Sole ProprietorYes
Enumeration DateMarch 16, 2022
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1659029833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
355 W 16TH ST STE 4300, Indianapolis, IN 46202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

ALLISON TERWILLIGER MD
Physical Medicine & Rehabilitation
355 W 16TH ST STE 4300
INDIANAPOLIS, IN 46202
Marion County (317) 503-9908
DR. TAYLOR JAMES ZIKE MA, MD
General Practice
355 W 16TH ST STE 4300
INDIANAPOLIS, IN 46202
Marion County (317) 963-2011
JACOB LEW RAMSEY-MORROW M.D.
Physical Medicine & Rehabilitation
355 W 16TH ST STE 4300
INDIANAPOLIS, IN 46202
Marion County (317) 963-2011
ZACHARY GENE WARD DO
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4300
INDIANAPOLIS, IN 46202
Marion County (317) 503-9908
LUCENDIA ADAMS MD
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4300
INDIANAPOLIS, IN 46202
Marion County (317) 963-2011
COLLIN MICHAEL YOUNG DO
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4300
INDIANAPOLIS, IN 46202
Marion County (317) 503-9908
SHIV PANIGRAHI MD
Physical Medicine & Rehabilitation
355 W 16TH ST STE 4300
INDIANAPOLIS, IN 46202
Marion County (317) 274-8157
MR. BRANDON TYLER KRUITBOSCH BUDIMAN-STEINLEY DO
Student in an Organized Health Care Education/Training Program
355 W 16TH ST STE 4300
INDIANAPOLIS, IN 46202
Marion County (317) 963-2011

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 Kaylie Bullock's NPI number?

The NPI number for Kaylie Bullock is 1659029833. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Kaylie Bullock located?

Kaylie Bullock practices at 355 W 16th St Ste 4300, Indianapolis, IN 46202. The listed phone number is (317) 963-2011.

What is Kaylie 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 Kaylie Bullock was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.