Individual
JENNI KAYE KUNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1221 SOUTH DR, MT PLEASANT, MI 48858-3257
(989) 772-6700
(989) 772-6807
Mailing address
3226 SAINT ANDREWS DR, MT PLEASANT, MI 48858-9070
(989) 772-6700
(989) 772-6807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601005069
MI LICENSE
MI
Enumeration date
12/05/2007
Last updated
03/17/2011
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