Provider Demographics
NPI:1740415033
Name:KUNA, KIM EILEEN
Entity Type:Individual
Prefix:MRS
First Name:KIM
Middle Name:EILEEN
Last Name:KUNA
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 1:609 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AR
Mailing Address - Zip Code:72949-2053
Mailing Address - Country:US
Mailing Address - Phone:479-439-0928
Mailing Address - Fax:479-667-1032
Practice Address - Street 1:609 N 14TH ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AR
Practice Address - Zip Code:72949-2053
Practice Address - Country:US
Practice Address - Phone:479-439-0928
Practice Address - Fax:479-667-1032
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist