Kenneth Wayne Bush, PA
NPI #1528020682 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1528020682
- Entity Type
- Individual
- Name
- Kenneth Wayne Bush, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Apr 4, 2006
- Last Updated
- Jun 23, 2025
Practice Location
- Address
- 2311 LEWISVILLE CLEMMONS RD
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-8905
- Phone
- (336) 716-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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