What is Kenneth Bullock's NPI number?

Kenneth Bullock's National Provider Identifier (NPI) is 1063977809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Bullock's specialty?

Kenneth Bullock is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Kenneth Bullock located?

Kenneth Bullock's practice location on file with NPPES is 3001 Warrior Ln, Poplar Bluff, MO 63901-8685.

What is Kenneth Bullock's phone number?

The practice phone number listed in the NPPES registry for Kenneth Bullock is (573) 686-1200.

Is Kenneth Bullock's NPI active?

Yes — Kenneth Bullock's NPI (1063977809) is active in the NPPES registry as of the last update on 2019-02-06.

IndividualActive

Kenneth Bullock

NPI 1063977809 · Behavior Technician · Poplar Bluff, MO

Kenneth Bullock is a Behavior Technician provider in Poplar Bluff, MO (NPI 1063977809).

Provider details

NPI number: 1063977809
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3001 Warrior Ln

Poplar Bluff, MO 63901-8685

Phone: (573) 686-1200

Street-level locationGet directions

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Mailing address