Individual
KELLY J KUNKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,M.S.N.,A.P.R.N.
Contact information
Practice address
824 MURLIN AVE, CELINA, OH 45822-2459
(419) 584-7111
(419) 584-7112
Mailing address
824 MURLIN AVE, CELINA, OH 45822-2459
(419) 584-7111
(419) 584-7112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
259612
OH
363L00000X
Nurse Practitioner
Primary
08887
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
11/01/2006
Last updated
03/27/2013
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