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NPI Code Detail

MEDICARE: ANNA KUNS

MEDICARE: ANNA KUNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12000034584OTHERKSBOC CERTIFICATION

General Provider Information

NPI Number : 1710524251
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KUNS
Provider Business Mailing Address
First Line : 125 W COOPER ST
Second Line :
City : STERLING
State : KS
Zip : 67579-1533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 125 W COOPER ST
Second Line :
City : STERLING
State : KS
Zip : 67579-1533
Country : US
Telephone Number : 216-558-4449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2019
Last Update Date : 12/03/2019

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Directions to “ ANNA KUNS ” Practice Location

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