Individual
MELISSA ANN KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-3200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11902
ND
208000000X
Pediatrics Physician
53062
MN
208000000X
Pediatrics Physician
PT11902
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16227
—
ND
Enumeration date
09/10/2007
Last updated
06/01/2021
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