Individual
NICOLE LYNN KUNAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
(574) 647-7572
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007936A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300094442
—
IN
Enumeration date
04/13/2016
Last updated
09/18/2024
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