Michele Mills Kunkle, LPN,CSFA,CSA
Individual provider Active NPI Surgical Assistant · Osprey, FL
NPI 1407095425 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1407095425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- PN 1325501 (FL)
- Practice address
- 116 Candyce Dr
Osprey, FL 34229-9629 - Phone
- (941) 539-5443
- Fax
- (941) 445-5218
- NPI assigned
- Feb 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN 1325501 | FL | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Assistant | 246ZC0007X | PN 1325501 | FL | Yes |
Addresses
Primary practice location
116 Candyce Dr
Osprey, FL 34229-9629
Mailing address
116 Candyce Dr
Osprey, FL 34229-9629
Phone (941) 539-5443
Other providers in Osprey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.