Individual
KATHLEEN BUNGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2305 WILMINGTON RD STE 3, NEW CASTLE, PA 16105-1959
(724) 965-8355
Mailing address
2720 ALBERT STREET EXT, NEW CASTLE, PA 16105-1758
(724) 730-7170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN100842L
PA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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