Provider Demographics
NPI:1376054932
Name:DUNIA, KIRSTEN JOY
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:JOY
Last Name:DUNIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 ELLERY AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-0615
Mailing Address - Country:US
Mailing Address - Phone:559-451-5771
Mailing Address - Fax:
Practice Address - Street 1:208 8TH ST SW UNIT 297
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:IA
Practice Address - Zip Code:51041-9031
Practice Address - Country:US
Practice Address - Phone:559-451-5771
Practice Address - Fax:559-451-5771
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-22
Last Update Date:2017-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer