Tunstall, Kim A

Tunstall, Kim A is an individual health care provider with primary practice located at 11776 Mariposa Rd , Hesperia CA 92345-1622. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Tunstall, Kim A can be contacted via phone (760) 956-2462.

Contact Information

Primary practice address
11776 Mariposa Rd Hesperia CA 92345-1622
Phone: (760) 956-2462
Fax: (760) 956-7542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1710183561
LBN Legal business name Tunstall, Kim A
Credentials CCAPPS-AII060060718
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Sep 13th, 2019 - about 5 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 1710183561 NPPES
California MEDICAID 101YA0400X

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