Individual
AMY WILLIAMS KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3840 HULEN ST, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76107-7277
(817) 569-4300
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
722478
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP123297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317965701
—
TX
05
—
317965702
—
TX
01
—
8257NA
BCBS
TX
Enumeration date
03/05/2013
Last updated
06/01/2023
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