Kenneth Penn Bullard in Charlotte - Plastic Surgery

Kenneth Penn Bullard - NPI 1851452296

Kenneth Penn Bullard is a Plastic Surgery in Charlotte, North Carolina. Kenneth Penn Bullard practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Kenneth Penn Bullard is 1851452296. The last update date is 2007-07-08.

Kenneth Penn Bullard's current location address is 1225 Charter Place, Charlotte, North Carolina. You can contact this provider via phone number 7043642358. The mailing address for Kenneth Penn Bullard is 1225 Charter Place, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Penn Bullard
Address 1225 Charter Place, Charlotte, North Carolina
Phone Number 7043642358
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1851452296
Provider Enumeration Date 2006-12-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1225 Charter Place
City Charlotte
State North Carolina (NC)
Post Code 282115503
Phone Number 7043642358
Fax Number

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 15028
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19723 NC BLUE CROSS BLUE SHIELD
360677 SC --
8919723 NC --

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FAQs about Kenneth Penn Bullard

What is the unique 10-digit identifier code assigned to Kenneth Penn Bullard by the Centers for Medicare & Medicaid Services?

The Kenneth Penn Bullard has been issued the NPI (National Provider Identifier) 1851452296 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Kenneth Penn Bullard located?

The Kenneth Penn Bullard is located at 1225 Charter Place, Charlotte, NC 282115503.

What is Kenneth Penn Bullard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth Penn Bullard is Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 208200000X.

When was the Kenneth Penn Bullard's 1851452296 issued?

The Kenneth Penn Bullard's 1851452296 was issued on 2006-12-12.

As of what date were the details pertaining to Kenneth Penn Bullard last refreshed?

The information related to the Kenneth Penn Bullard, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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