| Doctor Name: | REGINA KUNDELL |
| NPI Number: | 1376546994 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R095408 |
| Business Practice Address: | 9601 Pulaski Park Dr Suite 416 Middle River, MD - 212201409 |
| Business Phone Number: | 4109335678 |
| Business Fax Number: | 4102387451 |
| Mailing Address: | 9601 Pulaski Park Dr, Suite 416 MIDDLE RIVER |
| State: | MD |
| Postal Code: | 212201409 |
| Phone Number: | 4109335678 |
| Fax Number: | 4102387451 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 12/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R095408 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |