Provider Demographics
NPI:1609024181
Name:STRUNK, KEVIN LEOPOLD (LMSW)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:LEOPOLD
Last Name:STRUNK
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 7TH ST
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:IL
Mailing Address - Zip Code:61252-1418
Mailing Address - Country:US
Mailing Address - Phone:563-212-9342
Mailing Address - Fax:
Practice Address - Street 1:217 5TH AVE S
Practice Address - Street 2:SUITE 212
Practice Address - City:CLINTON
Practice Address - State:IA
Practice Address - Zip Code:52732-4341
Practice Address - Country:US
Practice Address - Phone:563-243-7721
Practice Address - Fax:563-243-1770
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0070601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical