Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD2005-0827 | NM |
NPI | 1316031792 |
---|---|
Provider Name | Dr. Abby B Kunz |
First Address | Albuquerque, NM 87125-6666 |
Second Address | Albuquerque, NM 87106-4917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 03/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
59583517 | (05) | NM |