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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILLIAM JENNISON BULKLEY, MD

Active Sole Proprietor

MR. WILLIAM JENNISON BULKLEY, MD is a Facial Plastic Surgery healthcare provider located in PARAGOULD, Arkansas. NPI 1386638286 is currently active in the NPPES registry. Verify at CMS.

Facial Plastic Surgery · PARAGOULD, AR

Registration Details

NPI Number
1386638286
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2005 (20.948740487996 yrs)
Last Updated
Oct 9, 2013
Licenses
E1362 (AR)
110242 (MO)
K6995 (TX)
Sole Proprietor
Yes

Practice Information

Address
1000 W KINGSHIGHWAY
STE 3
PARAGOULD, AR, 724504141
Browse AR providers · Browse ZIP 72450
Phone
8702408020
Fax
8702408028
Primary Specialty
Facial Plastic Surgery
207YX0905X
Additional Specialty
Facial Plastic Surgery
Additional Specialty
Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.