Jackie Rae Kunkle in Spokane - Dental Hygienist
Jackie Rae Kunkle - NPI 1508052135
Jackie Rae Kunkle is a Dental Hygienist in Spokane, Washington. Jackie Rae Kunkle practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Jackie Rae Kunkle is 1508052135. The last update date is 2007-09-18.
Jackie Rae Kunkle's current location address is 8712 One Half E Maringo Dr, Spokane, Washington. You can contact this provider via phone number 5095358760 and fax number 5095358760. The mailing address for Jackie Rae Kunkle is 8712 One Half E Maringo Dr, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Rae Kunkle |
|---|---|
| Address | 8712 One Half E Maringo Dr, Spokane, Washington |
| Phone Number | 5095358760 |
| Fax Number | 5095358760 |
| Sole Proprietor | N |
| Credentials | RDH |
NPI Number Detail
| NPI Number | 1508052135 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | 8712 One Half E Maringo Dr |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992121822 |
| Phone Number | 5095358760 |
| Fax Number | 5095358760 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5900014 | WA | -- |
Post Comment/ Review Below
What is the Jackie Rae Kunkle's 1508052135?
The Jackie Rae Kunkle's NPI (National Provider Identifier) Number is 1508052135. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jackie Rae Kunkle is physically located?
The Jackie Rae Kunkle is situated at the following address: 8712 One Half E Maringo Dr, Spokane, WA 992121822.
What is Jackie Rae Kunkle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jackie Rae Kunkle's specialized field of practice is Dental Hygienist, and the corresponding taxonomy code that categorizes this area of specialization is 124Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508052135 to Jackie Rae Kunkle?
The Centers for Medicare & Medicaid Services originally issued the 1508052135 to Jackie Rae Kunkle on 2007-09-18.
As of what date was the information regarding Jackie Rae Kunkle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackie Rae Kunkle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-18.
NPI Number: 1306849500
Address: 1009 North State Of Franklin Access Road, Johnson City, TN