Jill Marie Kuenzel, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2006014788 Issued in MO

Practice address

101 Progress Pkwy
Sullivan, MO 63080-2359

Phone

(844) 853-8937

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1952862732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 HIGHWAY V",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905630",
            "telephone_number": "636-346-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROGRESS PKWY",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802359",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1780 Old Highway 50 E",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MO",
            "postal_code": "630843397",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUENZEL",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "2006014788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rani Kleinlein, NP-C
• Tae Ho Kong, DDS
• Kathleen Laura Kramer, SLP
• Tanya Kreutz, COTA/L
• Jeena Priya Krishna, DDS
• Emily S Lanemann, LPC
• Jill Paige Lesko, LPC
• Rebecca Levy, PHARMD.
• Lifenet, Inc. (ARCH Air Medical Service)
• Lifenet, Inc. (ARCH Air Medical Service)

• Dental Hygienist in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.