Individual
DR. KEVIN TODD BRUNACINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-C
Contact information
Practice address
6267 FINCHLEY RD, INDEPENDENCE, KY 41051-8591
(937) 205-6529
Mailing address
6267 FINCHLEY RD, INDEPENDENCE, KY 41051-8591
(937) 205-6529
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
363LF0000X
Family Nurse Practitioner
Primary
3008539
KY
Other
Enumeration date
07/09/2014
Last updated
09/26/2018
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