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Individual

CHARITY D BUNNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2645 LEITCHFIELD RD STE 104, ELIZABETHTOWN, KY 42701-7349
(270) 234-8180
(270) 234-8179
Mailing address
229 KNOBVIEW DR, LEBANON JUNCTION, KY 40150-8404
(502) 523-4326

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3017067
KY

Other

Enumeration date
02/22/2022
Last updated
08/11/2023
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