Kathleen Kunkel
NPI #1093175473 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1093175473
- Entity Type
- Individual
- Name
- Kathleen Kunkel
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Feb 29, 2016
- Last Updated
- Feb 29, 2016
Practice Location
- Address
- 150 SHOUP AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3657
- Phone
- (208) 528-4062
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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