| Kenneth Penn Bullard, MD | |
|
1225 Charter Place, Charlotte, NC 28211-5503 | |
| (704) 364-2358 | |
| Not Available |
| Full Name | Kenneth Penn Bullard |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 1225 Charter Place, Charlotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851452296 | NPI | - | NPPES |
| 19723 | Other | NC | BLUE CROSS BLUE SHIELD |
| 360677 | Medicaid | SC | |
| 8919723 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 15028 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Penn Bullard, MD 1225 Charter Place, Charlotte, NC 28211-5503 Ph: (704) 364-2358 | Kenneth Penn Bullard, MD 1225 Charter Place, Charlotte, NC 28211-5503 Ph: (704) 364-2358 |
Dr. Michael Steven Gart, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1915 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2000 | |
Dr. Ryan Michael Garcia, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1915 Randolph Rd, Charlotte, NC 28207 Phone: 704-323-2000 | |
Dr. Miguel Angel Yanez, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277 Phone: 704-542-2220 Fax: 704-572-3304 | |
Gregory Allen Mantooth, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277 Phone: 704-542-2220 Fax: 704-542-3304 | |
David Charles Alexander Fisher, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204 Phone: 704-446-6810 | |
Michael H Carstens, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1719 South Blvd # B, Charlotte, NC 28203 Phone: 704-375-2955 Fax: 704-377-2766 | |
Dr. Robin J Hennessy, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 315 Arlington Ave, Suite 2003, Charlotte, NC 28203 Phone: 704-444-3301 |