Individual
KRISTEN KUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
26 LILY DR, SOUTH SETAUKET, NY 11720
(631) 219-5660
Mailing address
PO BOX 973, VAIL, CO 81658-0973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0001289
CO
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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