Individual
KATHY BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
231419
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35008
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000925919001
HEALTH NOW
NY
01
—
9749297
GHI
NY
Enumeration date
07/05/2006
Last updated
07/13/2007
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