Individual
MARK NUNLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8100
Mailing address
PO BOX 6749, LOUISVILLE, KY 40206-0749
(502) 899-7646
(502) 899-7648
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22415
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350651
BLUE CROSS FACET ID
—
Enumeration date
06/14/2006
Last updated
07/08/2007
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