Provider Demographics
NPI:1427434737
Name:KUNKEL, SUSAN (ARNP-BC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:KUNKEL
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 GOLF RD STE 1000
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-5501
Mailing Address - Country:US
Mailing Address - Phone:561-833-1747
Mailing Address - Fax:561-833-1394
Practice Address - Street 1:311 GOLF RD STE 1000
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-5501
Practice Address - Country:US
Practice Address - Phone:561-833-1747
Practice Address - Fax:561-833-1394
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2050022364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology