MRS. KELLY SUE KUNKLE RN MSN FNP-BC NPI 1538607742

NPI Information

NPI: 1538607742
Provider Name: MRS. KELLY SUE KUNKLE, RN, MSN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SLH PHYSICIANS LLC

PECOS Registration: Yes

Address:
3655 VISTA AVE
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 268-7700
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MRS. Kelly Sue Kunkle, RN, MSN, FNP-BC is a family nurse practitioner in Saint Louis, MO with 8 years of experience. MRS. Kelly Sue Kunkle, RN, MSN, FNP-BC NPI is 1538607742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3655 VISTA AVE
SAINT LOUIS, MO
ZIP 63110-539
Phone: (314) 268-7700
Fax: (314) 268-7711

The NPI 1538607742 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 11/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2016042747	MISSOURI	Yes
2	363LF0000X	Nurse Practitioner	Family	209015441	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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