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NPI Code Detail

MEDICARE: KRISTEN B RUNDELL MD

MEDICARE: KRISTEN B RUNDELL MD
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician65952AZ

General Provider Information

NPI Number : 1912930850
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN B RUNDELL MD
Provider Business Mailing Address
First Line : 655 N ALVERNON WAY STE 228
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1853
Country : US
Telephone Number : 520-626-7864
Fax Number :
Provider Business Practice Location Address
First Line : 3950 S COUNTRY CLUB RD STE 130
Second Line :
City : TUCSON
State : AZ
Zip : 85714-2203
Country : US
Telephone Number : 520-670-3909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 03/11/2025

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Directions to “ KRISTEN B RUNDELL MD” Practice Location

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