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Individual

ROBERT ALLEN BRUNGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 578-5880
(859) 578-5881
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-5880
(859) 578-5881

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010594
KY

Other

Enumeration date
09/19/2016
Last updated
08/31/2018
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