Kunkle, Michelle Lynne

Kunkle, Michelle Lynne is an individual health care provider with primary practice located at 305 E San Marnan Dr , Waterloo IA 50702-5837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kunkle, Michelle Lynne can be contacted via phone (319) 235-3158.

Contact Information

Primary practice address
305 E San Marnan Dr Waterloo IA 50702-5837
Phone: (319) 235-3158
Fax: (319) 235-9836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A099381 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R38041 North Dakota

Profile Details

NPI number 1376779090
LBN Legal business name Kunkle, Michelle Lynne
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2009
Last updated Oct 2nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376779090 NPPES
Iowa Other A099381 LICENSE

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