Individual
EDWIN LEWIS BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 N BROADWAY, LEXINGTON, KY 40508-3715
(859) 255-8422
(859) 255-0387
Mailing address
660 N BROADWAY, LEXINGTON, KY 40508-3715
(859) 255-8422
(859) 255-0387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18113
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64181134
—
KY
Enumeration date
03/13/2007
Last updated
07/08/2007
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