Individual
MRS. JODY LEE KUHNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP
Contact information
Practice address
105 KEETON DR, HOPKINSVILLE, KY 42240-8756
(270) 887-6565
(270) 887-6575
Mailing address
809 BROOKE VALLEY TRCE, CLARKSVILLE, TN 37043-5931
(915) 443-2745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
747350
TX
363LP0200X
Pediatric Nurse Practitioner
22551
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
3018756
KY
363LP0200X
Pediatric Nurse Practitioner
747350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12902
RX AUTHORIZATION NUMBER
TX
Enumeration date
10/04/2011
Last updated
12/13/2022
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