KENNETH H BULL MD PA
Ambulatory Health in Albuquerque, NM

License number
New Mexico 7399
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. KENNETH HAROLD BULL MD
Title: PRESIDENT
Phone: (505) 881-8666
Address
Address
3500 NE Bldg E #6, Albuquerque, NM 87107
National Provider ID: 1609058262
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNETH H. BULL, M.D., PA

Albuquerque, NM

Status:
Inactive
Registration:
Jul 21, 1977
Addresses:
2403 San Mateo NE SUITE S-10  , Albuquerque, NM 87110 (Mailing)
2403 San Marte NE SUITE S-10  , Albuquerque, NM 87110 (Mailing)
State ID:
927244
Business type:
Domestic Profit
Vice Presidents:
Kenneth Bull (President),Beverly Bull (Vice President)
Agent:
Atty John Budagher,3500 Comanche Rd NE, Albuquerque, NM 87107 (Physical)

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