Provider Demographics
NPI:1891345823
Name:HUNKELE, RORY LYN
Entity Type:Individual
Prefix:
First Name:RORY
Middle Name:LYN
Last Name:HUNKELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RORY
Other - Middle Name:LYN
Other - Last Name:LEMOINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:2341 HOPEHAVEN WAY
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-7406
Mailing Address - Country:US
Mailing Address - Phone:678-858-9005
Mailing Address - Fax:
Practice Address - Street 1:1700 TREE LN STE 390
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6744
Practice Address - Country:US
Practice Address - Phone:678-639-3979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN169563363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily