Provider Demographics
NPI:1871885251
Name:KARUNA, KIMBERLY (ND)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:
Last Name:KARUNA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-3202
Mailing Address - Country:US
Mailing Address - Phone:707-353-5875
Mailing Address - Fax:707-581-1833
Practice Address - Street 1:1815 4TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-3202
Practice Address - Country:US
Practice Address - Phone:707-353-5875
Practice Address - Fax:707-581-1833
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND458175F00000X
CAND-458175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath