Organization
KIM TUNELL LLC
Active
Organization
KIM TUNELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC TUNELL DO (PRESIDENT)
(928) 428-1702
Entity
Organization
Contact information
Practice address
2081 W US HIGHWAY 70, THATCHER, AZ 85552-5445
(928) 428-1702
(480) 705-7300
Mailing address
2081 W US HIGHWAY 70, THATCHER, AZ 85552-5445
(928) 428-1702
(480) 705-7300
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
3493
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00150682
RAILROAD MEDICARE
AZ
Enumeration date
01/15/2008
Last updated
04/20/2009
Update your record
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