Individual
MRS. PATTI LYNN KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202
(313) 916-6142
(313) 916-8007
Mailing address
223 RAMBLEWOOD DRIVE, LASALLE, ONTARIO N9J3A-8
(519) 978-3370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704227174
MI
363LC0200X
Critical Care Medicine Nurse Practitioner
4704227174
MI
Other
Enumeration date
05/28/2009
Last updated
02/17/2021
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