| Doctor Name: | DR. KRISTIN A KUNZMAN |
| NPI Number: | 1013992676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 0556 |
| Business Practice Address: | 3800 Park Nicollet Blvd St Louis Park, MN - 554162527 |
| Business Phone Number: | 9529933393 |
| Business Fax Number: | |
| Mailing Address: | 6465 Wayzata Blvd, Ste 315 ST LOUIS PARK |
| State: | MN |
| Postal Code: | 554261728 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/07/2005 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |