Individual
CHRIS A BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4000 KRESGE WAY, EMERGENCY DEPARTMENT BAPTIST HEALTH LOUISVILLE, LOUISVILLE, KY 40207
(502) 899-7646
(502) 899-7648
Mailing address
PO BOX 6749, LOUISVILLE, KY 40206-0749
(502) 899-7646
(502) 899-7648
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC304
KY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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