Richard Marlin Kunkle in Show Low - Clinical
Richard Marlin Kunkle - NPI 1487610325
Richard Marlin Kunkle is a Clinical in Show Low, Arizona. Richard Marlin Kunkle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Marlin Kunkle is 1487610325. The last update date is 2007-07-08.
Richard Marlin Kunkle's current location address is 2500 Show Low Lake Rd, Show Low, Arizona. You can contact this provider via phone number 9285372951 and fax number 9285378520. The mailing address for Richard Marlin Kunkle is 2500 Show Low Lake Rd, Show Low, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Marlin Kunkle |
|---|---|
| Address | 2500 Show Low Lake Rd, Show Low, Arizona |
| Phone Number | 9285372951 |
| Fax Number | 9285378520 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1487610325 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2500 Show Low Lake Rd |
|---|---|
| City | Show Low |
| State | Arizona (AZ) |
| Post Code | 859017929 |
| Phone Number | 9285372951 |
| Fax Number | 9285378520 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCSW2818 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 734310 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Marlin Kunkle?
The Richard Marlin Kunkle has been issued the NPI (National Provider Identifier) 1487610325 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Richard Marlin Kunkle's physical address?
The Richard Marlin Kunkle is physically located at 2500 Show Low Lake Rd, in the city of Show Low, AZ, with the postal code 859017929.
What is Richard Marlin Kunkle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard Marlin Kunkle is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did Richard Marlin Kunkle receive its 1487610325 assignment from the Centers for Medicare & Medicaid Services?
The Richard Marlin Kunkle was assigned its 1487610325 on 2006-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Richard Marlin Kunkle last refreshed?
The information related to the Richard Marlin Kunkle, including its address, specialty, and other relevant details, was last updated on 2007-07-08.