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THOMAS BUNNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3366
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 572-3366
(859) 572-3568

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15980
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64159809
KY
Enumeration date
08/22/2005
Last updated
03/28/2019
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