Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 0011831 | FL |
NPI | 1013131291 |
---|---|
Provider Name | Dr. Kim Kathleen Kundinger |
First Address | Naples, FL 34102-5488 |
Second Address | Naples, FL 34102-5488 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |