Individual
NAYANA BABY KUNNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1173
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
S3697
TX
Other
Enumeration date
04/04/2017
Last updated
06/01/2022
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