Provider Demographics
NPI:1114909561
Name:KUNZ, BARBARA J (MS,CGC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:KUNZ
Suffix:
Gender:F
Credentials:MS,CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-2922
Mailing Address - Country:US
Mailing Address - Phone:763-520-3813
Mailing Address - Fax:763-520-1999
Practice Address - Street 1:3435 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-2922
Practice Address - Country:US
Practice Address - Phone:763-520-3813
Practice Address - Fax:763-520-1999
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS