Provider Demographics
NPI:1992393136
Name:KUNDA, DANNY
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:KUNDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 434
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-0434
Mailing Address - Country:US
Mailing Address - Phone:317-931-8101
Mailing Address - Fax:
Practice Address - Street 1:15889 RIVER BIRCH RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-9791
Practice Address - Country:US
Practice Address - Phone:317-931-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide