Individual
BRADLEY DUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6641 DIXIE HWY, LOUISVILLE, KY 40258-3909
(502) 364-0902
(502) 364-0099
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 301-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45243
KY
207X00000X
Orthopaedic Surgery Physician
57013901
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
45243
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100375420
—
KY
Enumeration date
10/22/2007
Last updated
08/19/2022
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