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Individual

KIMBERLY S YUNKUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
225 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-1846
(502) 561-4263
(502) 561-4221
Mailing address
225 ABRAHAM FLEXNER WAY, SUITE 700, LOUISVILLE, KY 40202-1846
(502) 561-4263
(502) 561-4221

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1069163
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
1650A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74380635
KY
Enumeration date
09/07/2005
Last updated
11/15/2007
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