Individual
LAURA S. KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
1622 8TH AVENUE, SUITE 110, FORT WORTH, TX 76104-4155
(817) 920-0924
(817) 920-3708
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76162-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP127045
TX
Other
Enumeration date
12/10/2014
Last updated
05/20/2015
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