Individual
COURTNEY R KUNZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5200
(573) 632-5000
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5200
(573) 632-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020019809
MO
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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