Individual
CHRISTINE MARY BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
150 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 967-5000
Mailing address
PO BOX 633815, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
O2895
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480897
BCBS
KY
05
—
64117112
—
KY
01
—
P00286007
RAILROAD MEDICARE
KY
Enumeration date
07/28/2006
Last updated
03/30/2009
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