HomeNPI Verification

NPI Verification

National Provider Identifier: 1295465409

Kaitlyn Rullo

Individual Provider

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Physician Assistant

Code: 363A00000X

Urology

Code: 208800000X

Primary

Practice Address

55 BROADWAY

BANGOR, ME 044015201

Phone: 207-947-0469

NPI Enumeration Date

June 13, 2022

NPI Number

1295465409

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry