Individual
TINA PUTHALON KUNNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8274 HACKS CROSS RD STE 102, OLIVE BRANCH, MS 38654-4009
(901) 370-7406
(833) 747-1287
Mailing address
8274 HACKS CROSS RD STE 102, OLIVE BRANCH, MS 38654-4009
(901) 370-7406
(833) 747-1287
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
36016
MS
207RR0500X
Rheumatology Physician
Primary
57505
TN
Other
Enumeration date
06/29/2013
Last updated
02/02/2026
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