Individual
MS. JULIE ANN KUNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 NORTHWOOD, ASHLEY, OH 43003-0420
(740) 747-0260
Mailing address
PO BOX 420, ASHLEY, OH 43003-0420
(740) 747-0260
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2101853
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2563668
—
OH
Enumeration date
05/10/2007
Last updated
07/09/2007
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