Individual
LEA ANNE BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1324 WOODLAND DR STE A, ELIZABETHTOWN, KY 42701-2662
(270) 765-5921
(270) 982-3324
Mailing address
761 BRACKETT CEMETERY RD, UPTON, KY 42784-9210
(270) 735-2574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014772
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100685330
—
KY
Enumeration date
07/17/2020
Last updated
08/12/2022
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