Individual
DR. KATHERINE ANN KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7979 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2042
(317) 621-3801
(317) 621-5418
Mailing address
8441 FAIRWIND CT, INDIANAPOLIS, IN 46256-1544
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26026668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26026668A
INDIANA BOARD OF PHARMACY
IN
Enumeration date
12/03/2020
Last updated
12/03/2020
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