Individual
BRIAN KEITH BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3689 GREASY CREEK ROAD, PIKEVILLE, KY 41562
(606) 205-2166
Mailing address
3689 GREASY CRK, SHELBIANA, KY 41562-8506
(606) 205-2166
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
B96363253
KY
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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