Individual
MICHELLE LYNNE KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
305 E SAN MARNAN DR, WATERLOO, IA 50702-5837
(319) 235-3158
(319) 235-9836
Mailing address
305 E SAN MARNAN DR, WATERLOO, IA 50702-5837
(319) 235-3158
(319) 235-9836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A099381
IA
363LF0000X
Family Nurse Practitioner
R38041
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A099381
LICENSE
IA
Enumeration date
06/09/2009
Last updated
10/02/2012
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