KENNETH H BULL MD PA (NPI# 1609058262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609058262 |
| Entity Type | Organization |
| Organization Name | KENNETH H BULL MD PA |
| Practice Address |
3500 Comanche Rd Ne Bldg E #6 Albuquerque NM 87107-4546 |
| Practice Telephone | 5058818666 |
| Practice Fax Number | 5058813261 |
| Mailing Telephone | 5058818666 |
| Mailing Fax Number | 5058813261 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | DR. KENNETH HAROLD BULL (PRESIDENT) |
| Authorized Official Telephone | 5058818666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
7399 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 04556 | 05 |
| Street Address |
3500 COMANCHE RD NE BLDG E #6 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162771 | William Howard Doggett | Chiropractor | 3500 Comanche Rd Ne, Ste I, Albuquerque, NM 87107-4546 | 2005-05-23 |
| 1609362763 | Alayna Orozco Ma Lpcc LLC | Counselor | 3500 Comanche Rd Ne, Albuquerque, NM 87107-4546 | 2018-07-02 |
| 1740687391 | Tonya Mcclish | Specialist | 3500 Comanche Rd Ne, Albuquerque, NM 87107-4546 | 2014-11-25 |
| 1528332533 | Janet L. Field | Counselor | 3500 Comanche Rd Ne, Suite E, Albuquerque, NM 87107-4546 | 2012-03-08 |
| 1033412879 | Erin Margaret Keetso | Acupuncturist | 3500 Comanche Rd Ne, Suite A5, Albuquerque, NM 87107-4546 | 2010-12-17 |
| 1760784409 | Desert Health, LLC | Acupuncturist | 3500 Comanche Rd Ne, Suite A3, Albuquerque, NM 87107-4546 | 2010-12-01 |
| 1124320197 | The Doula Tree Network | Doula | 3500 Comanche Rd Ne, Suite A3, Albuquerque, NM 87107-4546 | 2010-11-24 |
| 1659601235 | Thresa Noleszenski Maldonado | Specialist | 3500 Comanche Rd Ne, Suite E-22, Albuquerque, NM 87107-4546 | 2010-01-05 |
| 1932436599 | Matthew G. Kreitzer | Acupuncturist | 3500 Comanche Rd Ne, Building E, Suite 13, Albuquerque, NM 87107-4546 | 2009-11-03 |
| 1255667549 | Sandia Mountain Acupuncture, LLC | Acupuncturist | 3500 Comanche Rd Ne, Building E, Suite 13, Albuquerque, NM 87107-4546 | 2009-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053922104 | Indigo Psychotherapy, LLC | Clinic/Center | 6701 Kiowa Ave Ne, Albuquerque, NM 87110-2144 | 2020-08-12 |
| 1548878200 | Lenore Engelhardt Inc | Clinic/Center | 205 Horton Ln Nw, Albuquerque, NM 87114-1052 | 2020-07-20 |
| 1871137042 | State of The Heart Recovery | Clinic/Center | 203 California St Ne, Albuquerque, NM 87108-1802 | 2019-10-31 |
| 1659926913 | Deep Roots Counseling, LLC | Clinic/Center | 210 Truman St Ne, Albuquerque, NM 87108-1333 | 2019-08-05 |
| 1568976942 | Inner Compass Counseling LLC | Clinic/Center | 12836 Lomas Blvd Ne Ste B, Albuquerque, NM 87112-6200 | 2017-11-22 |
| 1487166880 | The Healing Place Mental Health Services, LLC | Clinic/Center | 110 2nd St Sw Ste 214, Albuquerque, NM 87102-3337 | 2017-10-26 |
| 1609979608 | Bradford C. Richards | Clinic/Center | 1 San Rafael Avenue Ne, Albuquerque, NM 87122 | 2006-09-06 |
| 1902918055 | Hopeworks | Clinic/Center | 1201 3rd St Nw, Albuquerque, NM 87102-1403 | 2006-08-31 |
| 1437164811 | New Life Center for Family Development | Clinic/Center | 8338 Comanche Rd Ne, B, Albuquerque, NM 87110-2304 | 2006-07-31 |
| 1497371272 | Standtall Healing, LLC | Clinic/Center | 9301 Indian School Rd Ne Ste 107, Albuquerque, NM 87112-2864 | 2020-06-17 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on KENNETH H BULL MD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.