Provider Demographics
NPI:1992439640
Name:DUNN, NADIA KIM
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:KIM
Last Name:DUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71112-9747
Mailing Address - Country:US
Mailing Address - Phone:228-209-6309
Mailing Address - Fax:
Practice Address - Street 1:412 CLOVER LN
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71112-9747
Practice Address - Country:US
Practice Address - Phone:228-209-6309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-10
Last Update Date:2022-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other