Provider Demographics
NPI:1710697537
Name:KUNGL, CHRISTEL (RBT)
Entity Type:Individual
Prefix:
First Name:CHRISTEL
Middle Name:
Last Name:KUNGL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 BANK ST APT 13
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:OH
Mailing Address - Zip Code:44254-1076
Mailing Address - Country:US
Mailing Address - Phone:330-421-6159
Mailing Address - Fax:
Practice Address - Street 1:733 BANK ST APT 13
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:OH
Practice Address - Zip Code:44254-1076
Practice Address - Country:US
Practice Address - Phone:330-421-6159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program