Family Medicine
KELLY BULLARD DO
Identity confirmed via CMS NPPES · September 29, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831726975 · enumerated 2020-03-26 · record updated 2026-06-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 413 OWEN DR STE 201, FAYETTEVILLE, NC, 28304-3490 (910) 323-9111 Google Maps Apple Maps OpenStreetMap
- Practice location 413 OWEN DR STE 201, FAYETTEVILLE, NC, 28304-3490 (910) 323-9111 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 2023-01949 NC
In this directory
Locations and evidence
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Practice location
FAYETTEVILLE, NC, 283043490
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.