Provider Demographics
NPI:1750019253
Name:KUENZLI, CAROLE JEAN
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:JEAN
Last Name:KUENZLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 ERWIN RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:45640-9379
Mailing Address - Country:US
Mailing Address - Phone:740-577-7333
Mailing Address - Fax:
Practice Address - Street 1:2323 ERWIN RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-9379
Practice Address - Country:US
Practice Address - Phone:740-577-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide