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1851452296
KENNETH PENN BULLARD
CHARLOTTE, NC
NPI
1851452296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: NC 15028)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- KENNETH PENN BULLARD MD
1225 CHARTER PLACE
CHARLOTTE, NC 28211-5503
Phone number: 704-364-2358
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Mailing Address
-- KENNETH PENN BULLARD MD
1225 CHARTER PLACE
CHARLOTTE, NC 28211-5503
Phone number: 704-364-2358
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