Provider Demographics
NPI:1801193776
Name:KUENZLI, KAREN SUE (RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:KUENZLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9317 TOWNSHIP HIGHWAY 11
Mailing Address - Street 2:
Mailing Address - City:MC CUTCHENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44844-9716
Mailing Address - Country:US
Mailing Address - Phone:419-294-7193
Mailing Address - Fax:
Practice Address - Street 1:9317 TOWNSHIP HIGHWAY 11
Practice Address - Street 2:
Practice Address - City:MC CUTCHENVILLE
Practice Address - State:OH
Practice Address - Zip Code:44844-9716
Practice Address - Country:US
Practice Address - Phone:419-294-7193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN180847163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse