KENNETH H BULL MD PA NPI 1609058262

NPI Information

  • NPI: 1609058262
  • Provider Name: KENNETH H BULL MD PA
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3500 COMANCHE RD NE
    BLDG E #6
    ALBUQUERQUE, NM
    ZIP 87107
  • Phone: (505) 881-8666

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NPI Details

KENNETH H BULL MD PA is a mental health (including community mental health center) clinic center in Albuquerque, NM. KENNETH H BULL MD PA NPI is 1609058262. The provider is registered as an organization entity type.

The provider's business location address is:

3500 COMANCHE RD NE
BLDG E #6
ALBUQUERQUE, NM
ZIP 87107-546
Phone: (505) 881-8666
Fax: (505) 881-3261

The provider's authorized official is Kenneth Harold Bull .
The authorized official title is President and has the following contact phone number (505) 881-8666.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 12/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)7399NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104556MEDICAIDNEW MEXICO
2D35538MEDICARE UPIN
32122276MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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