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SECRET KUNKLE LVN
NPI 1417593054
Licensed Practical Nurse in Fort Worth, TX

Active since November 19, 2019
4801 BRENTWOOD STAIR RD STE 404, FORT WORTH, TX 76103(817) 492-9383(817) 492-9575 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Secret Kunkle Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SECRET KUNKLE LVN (NPI 1417593054) is an individual licensed practical nurse in Fort Worth, Texas, licensed in Texas (152924) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1417593054
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSECRET KUNKLECredential: LVN
Location Address4801 BRENTWOOD STAIR RD STE 404Fort Worth, TX 76103-1731
Mailing Address4801 Brentwood Stair Rd Ste 404Fort Worth, TX 76103-1731 · (817) 492-9383 · Fax (817) 492-9575
Phone(817) 492-9383
Fax(817) 492-9575
Sole ProprietorNo
Enumeration DateNovember 19, 2019
✔ NPI 1417593054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TX · 152924
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4801 BRENTWOOD STAIR RD STE 404, Fort Worth, TX 76103
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA WESTWOOD LCDC
Counselor
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX 76103
Tarrant County (817) 492-9383
NAVIS DEANN WHITE LCDCI,QMHP
Counselor (Addiction (Substance Use Disorder))
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX 76103
Tarrant County (817) 492-9383
NIKKI LYNNE ERB LVN
Licensed Vocational Nurse
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX 76103
Tarrant County (817) 492-9383
KAY MAGEE LCDC
Counselor (Addiction (Substance Use Disorder))
4801 BRENTWOOD STAIR RD STE 404
FT WORTH, TX 76103
Tarrant County (817) 492-9383
MICHAEL DOUD LCDC
Counselor (Addiction (Substance Use Disorder))
4801 BRENTWOOD STAIR RD STE 404
FT WORTH, TX 76103
Tarrant County (817) 492-9383
ANNA DANIELLE ROSAS LVN
Licensed Vocational Nurse
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX 76103
Tarrant County (817) 492-9383
RUDI CHONG
Registered Nurse
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX 76103
Tarrant County (817) 492-9383
ALEXIS LACHE UPSHAW
Licensed Vocational Nurse
4801 BRENTWOOD STAIR RD STE 404
FORT WORTH, TX 76103
Tarrant County (817) 492-9383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Secret Kunkle's NPI number?

The NPI number for Secret Kunkle is 1417593054. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Secret Kunkle located?

Secret Kunkle practices at 4801 Brentwood Stair Rd Ste 404, Fort Worth, TX 76103. The listed phone number is (817) 492-9383.

What is Secret Kunkle's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Secret Kunkle was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.