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Individual

DR. BRADFORD UNROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6801 DIXIE HWY, SUITE 134, LOUISVILLE, KY 40258-3913
(502) 447-4500
Mailing address
6801 DIXIE HWY, SUITE 134, LOUISVILLE, KY 40258-3913
(502) 447-4500

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00205
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047474
ANTHEM BCBS ID #
KY
01
610992425
CIGNA ID #
KS
01
610992425
UNITED HEALTHCARE ID #
KY
05
80002058
KY
Enumeration date
05/31/2006
Last updated
12/22/2008
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