Individual
THOMAS MICHAEL BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 MORRIS LN, HEIDRICK, KY 40949-5976
(606) 545-5169
Mailing address
109 MORRIS LN, HEIDRICK, KY 40949-5976
(606) 545-5169
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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