Provider Demographics
NPI:1568149201
Name:KUNKEL, CHRISTINA JUN OK (CNS CANDIDATE)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:JUN OK
Last Name:KUNKEL
Suffix:
Gender:F
Credentials:CNS CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3551 WILSHIRE WAY APT 6147
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-0070
Mailing Address - Country:US
Mailing Address - Phone:817-372-0568
Mailing Address - Fax:
Practice Address - Street 1:3551 WILSHIRE WAY APT 6147
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-0070
Practice Address - Country:US
Practice Address - Phone:817-372-0568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist