Provider Demographics
NPI:1205346343
Name:DUNST NELSON, KINSEY (MS, ATC, CSCS)
Entity type:Individual
Prefix:
First Name:KINSEY
Middle Name:
Last Name:DUNST NELSON
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BRITTAIN RD
Mailing Address - Street 2:
Mailing Address - City:DARLINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29532-2917
Mailing Address - Country:US
Mailing Address - Phone:414-559-3317
Mailing Address - Fax:
Practice Address - Street 1:4822 E PALMETTO ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-4530
Practice Address - Country:US
Practice Address - Phone:843-661-1358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer