MEDICARE: CONNIE KUNZE

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1871436238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONNIE KUNZE

Provider Business Mailing Address
First Line	:	52615 GORDON STATE HIGHWAY 149
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-9219
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	52615 GORDON STATE HWY 149
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-9219
Country	:	US
Telephone Number	:	740-921-8833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “ CONNIE KUNZE ” Practice Location

Language	Start Address	Practice Location

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