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NPI Code Detail

MEDICARE: KENDRA KAY BUNKERS

MEDICARE: KENDRA KAY BUNKERS
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
1183500000XPharmacist10413NE

General Provider Information

NPI Number : 1275048969
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA KAY BUNKERS
Provider Business Mailing Address
First Line : 6065 MEYER RD
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-8040
Country : US
Telephone Number : 402-564-7871
Fax Number :
Provider Business Practice Location Address
First Line : 818 E 23RD ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-3866
Country : US
Telephone Number : 402-563-4571
Fax Number : 402-563-3951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2017
Last Update Date : 12/04/2017

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Directions to “ KENDRA KAY BUNKERS ” Practice Location

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