KENNETH W. BUSH

CLEMMONS, NC
NPI1528020682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  103038)
Enumeration Date2006-04-04
Last Update Date2013-04-22
Business Address
-- KENNETH W. BUSH PA
2311 LEWISVILLE CLEMMONS RD
CLEMMONS, NC 27012-8905
Phone number: 336-716-2255
Mailing Address
-- KENNETH W. BUSH PA
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-2255
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