Provider Demographics
NPI:1609346097
Name:DUNN, KARI YVETTE
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:YVETTE
Last Name:DUNN
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 1:15107 W EVENING STAR TRL
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-4474
Mailing Address - Country:US
Mailing Address - Phone:626-222-3808
Mailing Address - Fax:
Practice Address - Street 1:15107 W EVENING STAR TRL
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4474
Practice Address - Country:US
Practice Address - Phone:626-222-3808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle