Individual
CAROL ANN KUNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
805 S ALEXANDRIA ST, LATROBE, PA 15650-1502
(724) 539-0242
(724) 539-6664
Mailing address
805 S ALEXANDRIA ST, LATROBE, PA 15650-1502
(724) 539-0242
(724) 539-6664
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002230L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007691290001
—
PA
01
—
1457675
BLUE SHIELD
PA
Enumeration date
07/28/2006
Last updated
03/07/2023
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