Individual
JARED KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
635 BRANING DR, FARMINGTON, MO 63640-7783
(573) 366-7579
Mailing address
635 BRANING DR, FARMINGTON, MO 63640-7783
(573) 366-7579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020028113
MO
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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