Provider Demographics
NPI:1467609305
Name:POUNDS, BUNNY KAI (MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BUNNY
Middle Name:KAI
Last Name:POUNDS
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:BUNNY
Other - Middle Name:KAI
Other - Last Name:KNOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:470 SOMERSET AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04967-4928
Mailing Address - Country:US
Mailing Address - Phone:207-487-5154
Mailing Address - Fax:207-487-3158
Practice Address - Street 1:470 SOMERSET AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:ME
Practice Address - Zip Code:04967-4928
Practice Address - Country:US
Practice Address - Phone:207-487-5154
Practice Address - Fax:207-487-3158
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER046358363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily