Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Unbridled Healthcare System LLC

Organization General Practice Physician · NPI 1295461663

Unbridled Healthcare System LLC is a General Practice Physician in London, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

220 N Main St
London, KY 40741-1367
Phone: (606) 770-3014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1295461663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Tye — Billing And Credentialing · (606) 215-3832
NPI enumeratedJuly 28, 2022
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing addressPo Box 2448, London, KY 40743-2448

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