Search › Idaho › 235Z00000X
Kylie Bull, CCC-SLP
NPI 1063935815 · on the registry since 2017
Practice
- Address
- 1409 W Main St Ste 120
Boise, ID 83702 - Phone
- (208) 370-5857
- Fax
- (208) 506-6312
- Clinicians at this address
- 7
Additional practice sites
- 935 E Winding Creek Dr Ste 120, Eagle, ID
- 964 W Idaho Ave, Ontario, OR
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho