NPI Registry Details

NPI Number Lookup

Free National NPI Number Registry

NPI Number Detailed Information

     
Provider Information:    
  Name: Andra B Kunkle
  Gender: F
  Provider License Number If Given: 36373
     
NPI Information:    
  NPI: 1003851437
  Entity Type (Individual or Organization): 1-ind
  Enumeration Date: 6/19/2006
  Last Update Date: 12/29/2016
     
Provider Business Mailing Address:    
  Address: 321 MULBERRY ST SW MEDICAL STAFF SERVICES
Lenoir, NC 28645
  Phone Number: 8287575965
  Fax Number: 8287575104
     
Provider Business Practice Location Address:    
  Address: 906 COLLEGE AVE SW SUITE C
Lenoir, NC 28645
  Phone Number: 8287575509
  Fax Number: 8287575538
     
Provider Taxonomy:    
  Primary: 208000000X
  Secondary (if any):
  State: NC