Individual
MR. KENNETH C BULL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1330 GLACIER HILL DR, MADISON, WI 53704-8593
(608) 438-6086
Mailing address
1330 GLACIER HILL DR, MADISON, WI 53704-8593
(608) 438-6086
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39941900
—
WI
Enumeration date
03/17/2006
Last updated
07/08/2007
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