Individual
KEVIN J BUNTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3483
(270) 651-4444
(270) 651-4229
Mailing address
PO BOX 645996, CINCINNATI, OH 45264-5996
(270) 651-4444
(270) 651-4229
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3010982
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100435290
—
KY
Enumeration date
12/22/2016
Last updated
03/30/2023
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