NPI 1093175473
Kathleen Kunkel
Practice location
- Address
- 150 Shoup Ave, Idaho Falls, ID 83402-3657
- Phone
- (208) 528-4062
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1093175473
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Feb 2016
- Record last updated
- 29 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.