Individual
KENNETH R. BUNNING
Active
Individual
KENNETH R. BUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2011-01863
NC
208800000X
Urology Physician
Primary
OS9814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117472
OPERATING ENGINEERS
FL
05
—
279031900
—
FL
01
—
344465
AVMED
FL
01
—
7137932
AETNA PROVIDER #
FL
01
—
94655
BCBS
FL
01
—
P00468955
RAILROAD MEDICARE
FL
Enumeration date
06/06/2007
Last updated
04/24/2013
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