Kenneth Penn Bullard, MD
Plastic Surgery in Charlotte, NC. Individual provider (NPI-1).
NPI number1851452296
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1851452296
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Penn Bullard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 15028 | NC | Yes |
Practice location
1225 Charter PlaceCharlotte, NC 28211-5503
Phone 704-364-2358
Mailing address
1225 Charter PlaceCharlotte, NC 28211-5503
Phone 704-364-2358
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 41 Plastic Surgery Physician providers in Charlotte · All 32,379 providers in Charlotte
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