Provider Demographics
NPI:1235357161
Name:KUNKLER, CHERYL DARLENE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:DARLENE
Last Name:KUNKLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3874 WOODBERRY DR
Mailing Address - Street 2:UP
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-8450
Mailing Address - Country:US
Mailing Address - Phone:330-239-5775
Mailing Address - Fax:330-239-5775
Practice Address - Street 1:3874 WOODBERRY DR
Practice Address - Street 2:UP
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-8450
Practice Address - Country:US
Practice Address - Phone:330-239-5775
Practice Address - Fax:330-239-5775
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN025007164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse