Individual
MRS. KELLEY LYNN KUNYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
831 PINE BEACH RD, MARINETTE, WI 54143
(715) 732-5796
(715) 732-5676
Mailing address
831 PINE BEACH RD, MARINETTE, WI 54143
(715) 732-5796
(715) 732-5676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4444-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41072100
—
WI
Enumeration date
07/28/2008
Last updated
11/23/2015
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