Individual
KRISTY KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
Mailing address
1412 N 2ND ST, ATCHISON, KS 66002-1203
(913) 367-4879
(913) 367-0240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3722
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288780D
—
KS
Enumeration date
03/08/2006
Last updated
12/20/2019
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