Search › Florida › 103TS0200X
Kathryn Funke, LICENSED SCHOOL PYSC
NPI 1760006134 · on the registry since 2020 · sole proprietor
Practice
- Address
- 912 Nw 56th Ter Ste A
Gainesville, FL 32605 - Phone
- (352) 377-7392
- Organisation at this address
- Park Avenue Dental
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-02
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 Florida