Individual
MIRANDA BUNGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3407 FERN VALLEY RD, LOUISVILLE, KY 40213-3529
(502) 961-9355
(502) 961-9357
Mailing address
8678 RAMSEY LN, DU QUOIN, IL 62832-3862
(618) 318-1351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1234
TN
111N00000X
Chiropractor
Primary
5471
KY
Other
Enumeration date
05/08/2015
Last updated
02/15/2016
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