Individual
JERRY KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
803 MEYERS BAKER RD STE 200, LONDON, KY 40741-3040
(606) 878-3240
Mailing address
803 MEYERS BAKER RD STE 200, LONDON, KY 40741-3040
(606) 878-3240
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3011462
KY
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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