Individual
TRACEY KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4209 NEWGATE AVE, USNS COMFORT, BALTIMORE, MD 21224-6416
(410) 631-7461
Mailing address
4209 NEWGATE AVE, USNS COMFORT, BALTIMORE, MD 21224-6416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN33592L
PA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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