Individual
DR. LEIGH ANN GUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
672 MAIN ST, WEST LIBERTY, KY 41472-1018
(606) 743-3030
(606) 743-7480
Mailing address
PO BOX 690, BEATTYVILLE, KY 41311-0690
(606) 464-0151
(606) 464-0152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7909
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31000862
JUNIPER HEALTH FACILITY MEDICAID
KY
05
—
7100056720
—
KY
01
—
7909
LICENSE
KY
Enumeration date
06/30/2008
Last updated
07/23/2020
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