Individual
MRS. BARBARA JANE KUNNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, FNP-C
Contact information
Practice address
114 N WASHINGTON ST, BOURBON, IN 46504-1623
(574) 335-7850
(574) 335-0755
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8700
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003229A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000701100
BCBS -- BOURBON FAM
IN
01
—
000000932418
BCBS LSC
IN
05
—
201015340
—
IN
01
—
P01574992
RR MEDICARE BOURBON
IN
Enumeration date
03/02/2011
Last updated
12/31/2019
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