Provider Demographics
NPI:1942064043
Name:KUNZLER, STEVEN TODD
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:TODD
Last Name:KUNZLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3533 TULLAMORE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6979
Mailing Address - Country:US
Mailing Address - Phone:702-802-4511
Mailing Address - Fax:702-802-4512
Practice Address - Street 1:5560 S. FORTH APACHE
Practice Address - Street 2:SUITE 110
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-802-4511
Practice Address - Fax:702-802-4512
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7648-PCS-12253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care