Individual
DR. JILL N KUNZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
228 9TH ST, SIBLEY, IA 51249-1801
(712) 754-4621
(712) 754-2762
Mailing address
PO BOX 409, SHELDON, IA 51201-0409
(712) 324-5151
(712) 324-5036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02226
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268052
—
IA
05
—
1268052
—
IA
Enumeration date
08/30/2006
Last updated
12/17/2007
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