| Doctor Name: | DR. KENNETH EARL BUJOLD |
| NPI Number: | 1578851648 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OT014172 |
| Business Practice Address: | 140 High Street Springfield, MA - 011091442 |
| Business Phone Number: | 4137940000 |
| Business Fax Number: | |
| Mailing Address: | 280 Chestnut St, 2nd Floor SPRINGFIELD |
| State: | MA |
| Postal Code: | 011991619 |
| Phone Number: | 4137945700 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2011 |
| NPI Last Update Date: | 01/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OT014172 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |