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Organization
KENNETH H BULL MD PA
Active
Organization
KENNETH H BULL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HAROLD BULL MD (PRESIDENT)
(505) 881-8666
Entity
Organization
Contact information
Practice address
3500 COMANCHE RD NE, BLDG E #6, ALBUQUERQUE, NM 87107-4546
(505) 881-8666
(505) 881-3261
Mailing address
3500 COMANCHE RD NE, BLDG E #6, ALBUQUERQUE, NM 87107-4546
(505) 881-8666
(505) 881-3261
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
7399
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04556
—
NM
Enumeration date
12/05/2007
Last updated
12/10/2007
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