Individual
BENJAMIN BULGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3901 RAINBOW BLVD # MS 4015, KANSAS CITY, KS 66160-8500
(913) 588-6412
(913) 588-6414
Mailing address
3901 RAINBOW BLVD # MS 4015, KANSAS CITY, KS 66160-8500
(913) 588-6412
(913) 588-6414
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2024022823
MO
Other
Enumeration date
04/18/2022
Last updated
07/11/2024
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