Unbridled Healthcare System LLC

NPI #1295461663 in London, Kentucky

Provider Information

NPI Number: 1295461663
Entity Type: Organization
Organization Name: Unbridled Healthcare System LLC
Primary Specialty: General Practice
Enumeration Date: Jul 28, 2022
Last Updated: Oct 11, 2023

Practice Location

Address: 220 N MAIN ST
City: London
State: Kentucky
ZIP Code: 40741-1367
Phone: (606) 770-3014

Authorized Official

Name: TERRI TYE
Title: BILLING AND CREDENTIALING
Phone: (606) 215-3832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
General Practice	208D00000X	Primary

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