Individual
BRENT KENNETH KUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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