Individual
KELLY JEAN KUNZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3928 E BLUE SAGE RD, GILBERT, AZ 85297-3554
(480) 272-9290
Mailing address
3928 E BLUE SAGE RD, GILBERT, AZ 85297-3554
(480) 272-9290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL2010
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709751
ACHHS
AZ
Enumeration date
01/23/2007
Last updated
07/08/2007
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