Individual
MR. KEVIN S GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.E.
Contact information
Practice address
2745 BAYLITE DR, GREEN BAY, WI 54313-7173
(920) 362-2152
Mailing address
1220 STUART ST, GREEN BAY, WI 54301-4313
(920) 437-1027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5011-125
WI
101YP2500X
Professional Counselor
887-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029719
—
WI
Enumeration date
08/12/2010
Last updated
09/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us