Individual
MR. KEVIN BONFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMERCIAL DR, ALEXANDRIA, KY 41001-2107
(859) 635-9440
(859) 448-2622
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56597
KY
207R00000X
Internal Medicine Physician
R4008
KY
207RS0010X
Sports Medicine (Internal Medicine) Physician
56597
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
62127
TN
Other
Enumeration date
03/28/2016
Last updated
07/20/2022
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