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Contact Information

KENNETH P BULLARD, MD
1225 CHARTER PLACE
CHARLOTTE, NC28211-5503
 Phone: 704-364-2358
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH P BULLARD · (Male)

NPI # 1851452296
Status Active
Credentials MD
Entity Individual
Enumeration date 12/12/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 15028
  • NC Medicaid 8919723
  • SC Medicaid 360677
  • NC Other 19723 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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