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Individual

KEVIN JEFFREY BUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 OLIVER RD, MONROE, LA 71201
(318) 807-4713
(318) 807-1833
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
311388
LA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
311388
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2487612
LA
Enumeration date
05/16/2009
Last updated
01/19/2026
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