Individual
KELLY L LUNKWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22 WAR TROPHY LN, MEDIA, PA 19063-5245
(484) 883-2411
Mailing address
22 WAR TROPHY LN, MEDIA, PA 19063-5245
(484) 883-2411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
761012
PA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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