Provider Demographics
NPI:1871703546
Name:KUNEN, LAURA K (AUD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:K
Last Name:KUNEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 MADISON STREET
Mailing Address - Street 2:SUITE 1410
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3555
Mailing Address - Country:US
Mailing Address - Phone:206-324-3300
Mailing Address - Fax:206-324-3301
Practice Address - Street 1:1221 MADISON STREET
Practice Address - Street 2:SUITE 1410
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3555
Practice Address - Country:US
Practice Address - Phone:206-324-3300
Practice Address - Fax:206-324-3301
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00004565231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist