Provider Demographics
NPI:1487295168
Name:BUNNELL, KESTIN (NREMT)
Entity type:Individual
Prefix:
First Name:KESTIN
Middle Name:
Last Name:BUNNELL
Suffix:
Gender:F
Credentials:NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 BOG RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-4103
Mailing Address - Country:US
Mailing Address - Phone:603-632-7166
Mailing Address - Fax:
Practice Address - Street 1:327 BOG RD
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NH
Practice Address - Zip Code:03748-4103
Practice Address - Country:US
Practice Address - Phone:603-443-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer