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NPI Code Detail

MEDICARE: DR. STEPHANIE MCARDLE KUNKEL DPT

MEDICARE: DR. STEPHANIE MCARDLE KUNKEL DPT
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
1225100000XPhysical Therapist291235CA

General Provider Information

NPI Number : 1467007914
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE MCARDLE KUNKEL DPT
Provider Business Mailing Address
First Line : 153 W COLORADO BLVD
Second Line :
City : MONROVIA
State : CA
Zip : 91016-2805
Country : US
Telephone Number : 760-537-9377
Fax Number :
Provider Business Practice Location Address
First Line : 1500 DUARTE RD
Second Line :
City : DUARTE
State : CA
Zip : 91010-3012
Country : US
Telephone Number : 800-826-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 08/01/2019

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