Basic Information
| Provider Information | |||||||||
| NPI: | 1497169460 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KUNA | ||||||||
| FirstName: | LESLIE | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7001 S EDGERTON RD | ||||||||
| Address2: | STE A | ||||||||
| City: | BRECKSVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441414206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4407170591 | ||||||||
| FaxNumber: | 4407170594 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 N MILLS AVE | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328035722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4075819180 | ||||||||
| FaxNumber: | 4079269173 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2014 | ||||||||
| LastUpdateDate: | 01/28/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 17141 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.