Individual
DR. KENNETH CHARLES ULLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5410 CONNECTICUT AVE # 107, NW WASHINGTON, DC 20015
(202) 686-1498
(201) 718-3475
Mailing address
5630 WISCONSIN AVENUE SUITE 304, CHEVY CHASE, MD 20815
(301) 718-3474
(301) 718-3475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101024781
VA
2084P0800X
Psychiatry Physician
Primary
25650
DC
2084P0800X
Psychiatry Physician
D02586
MD
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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