Individual
DR. KENNETH BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-5295
(512) 439-1000
(512) 439-1081
Mailing address
4700 SETON CENTER PKWY, SUITE 200, AUSTIN, TX 78759-5295
(512) 439-1000
(512) 439-1081
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M7072
TX
208100000X
Physical Medicine & Rehabilitation Physician
MD428492
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851399
HIGHMARK BLUE SHIELD
—
05
—
191447502
—
TX
01
—
2708299000
INDEPENDENCE BLUE CROSS/K
—
01
—
50059281
CAPITAL BLUE CROSS/KHPC
—
01
—
P00477942
MEDICARE RAILROAD
TX
01
—
P00480719
MEDICARE RAILROAD
TX
Enumeration date
05/12/2006
Last updated
02/27/2025
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