Kunkle, Shannon
Kunkle, Shannon is an individual health care provider with primary practice located at 825 W Jackson St , Morton IL 61550-1569. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kunkle, Shannon can be contacted via phone (309) 291-0469.Contact Information
Primary practice address
825 W Jackson St
Morton IL 61550-1569
Phone: (309) 291-0469
Fax: (309) 291-0467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.020100 | Illinois |
Profile Details
| NPI number | 1679188940 |
|---|---|
| LBN Legal business name | Kunkle, Shannon |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2020 |
| Last updated | Jun 17th, 2024 - about 5 months 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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