Individual
DR. WALTER O BRUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11600 MAIN ST, LOUISVILLE, KY 40243-1318
(502) 245-4168
(502) 244-4054
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 238-2801
(502) 238-2835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19421
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64194210
—
KY
Enumeration date
07/07/2005
Last updated
12/08/2020
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