Organization
KATHY NUNEMAKER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY L NUNEMAKER MA CCC-SLP (SOLE MEMBER)
(303) 931-8313
Entity
Organization
Contact information
Practice address
4105 GILPIN DR, BOULDER, CO 80303-2527
(303) 931-8313
(303) 543-8283
Mailing address
PO BOX 21150, BOULDER, CO 80308-4150
(303) 931-8313
(303) 543-8283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00484063
CERTIFICATION
CO
Enumeration date
03/22/2012
Last updated
03/22/2012
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