Search › Indiana › 363L00000X
Jordan Kunkel
NPI 1528532132 · on the registry since 2019
Practice
- Address
- 601 Stadium Mall Dr
West Lafayette, IN 47907 - Phone
- (765) 494-1700
- Fax
- (765) 496-1227
- Organisation at this address
- Purdue University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Additional practice sites
- 9669 E 146th St Ste 310, Noblesville, IN
- 7150 Clearvista Dr, Indianapolis, IN
- 7150 Clearvista Dr, Indianapolis, IN
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
363LG0600X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana