KENNETH PENN BULLARD

CHARLOTTE, NC
NPI1851452296
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: NC  15028)
Enumeration Date2006-12-12
Last Update Date2007-07-08
Business Address
-- KENNETH PENN BULLARD MD
1225 CHARTER PLACE
CHARLOTTE, NC 28211-5503
Phone number: 704-364-2358
Mailing Address
-- KENNETH PENN BULLARD MD
1225 CHARTER PLACE
CHARLOTTE, NC 28211-5503
Phone number: 704-364-2358