National Provider Identifier
Kevin Pullyblank, AT
Kevin Pullyblank, AT is listed in the NPPES registry with a primary specialty of Athletic Trainer in Caledonia, NY and a listed phone number of (585) 944-9277.
Profile Overview
- NPI
- 1114303245
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- July 30, 2015
- Last Updated
- July 30, 2015
Practice Location
- 3193 Jane St
- Caledonia, NY 14423-1024
Phone: (585) 944-9277
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1114303245
- Entity Type
- Individual
- Last Name
- Pullyblank
- First Name
- Kevin
- Credential
- AT
- Mailing Street Address
- 3193 Jane St
- Mailing City
- Caledonia
- Mailing State
- NY
- Mailing ZIP Code
- 14423-1024
- Mailing Country
- US
- Mailing Phone
- (585) 944-9277
- Practice Street Address
- 3193 Jane St
- Practice City
- Caledonia
- Practice State
- NY
- Practice ZIP Code
- 14423-1024
- Practice Country
- US
- Practice Phone
- (585) 944-9277
- Enumeration Date
- July 30, 2015
- Last Updated
- July 30, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)