Kungle, Jennifer L

Kungle, Jennifer L is an individual health care provider with primary practice located at 4575 Everhard Rd Nw , Canton OH 44718-2406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kungle, Jennifer L can be contacted via phone (330) 494-5600.

Contact Information

Primary practice address
4575 Everhard Rd Nw Canton OH 44718-2406
Phone: (330) 494-5600
Fax: (330) 966-1644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35071533 Ohio

Profile Details

NPI number 1750375903
LBN Legal business name Kungle, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750375903 NPPES
Ohio MEDICAID 2072519

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