Doctor Name: | KIMBERLEE M BUNKARTAS |
NPI Number: | 1093944738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 255782 |
Business Practice Address: | 2 Meeting House Rd Chelmsford, MA - 018242700 |
Business Phone Number: | 9782565522 |
Business Fax Number: | 9782565399 |
Mailing Address: | 2 Meeting House Rd, CHELMSFORD |
State: | MA |
Postal Code: | 018242700 |
Phone Number: | 9782565522 |
Fax Number: | 9782565399 |
NPI Enumeration Date: | 07/02/2009 |
NPI Last Update Date: | 07/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 255782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |