Individual ProviderLauren KunklePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address300 Halket St, Suite 5600, Pittsburgh, PA 15213-3108(412) 641-7850PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Kunkle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1194275396Provider TypeIndividualFull NameKunkle, LaurenGenderFemaleSole ProprietorNoEnumeration Date10/12/2016Last Updated5/24/2021Contact InformationPractice LocationPractice Address300 Halket St, Suite 5600, Pittsburgh, PA 15213-3108Phone(412) 641-7850FaxUnlisted FaxMailing LocationMailing Address121 Liberty Ave, Suite 0610, Arnold, PA 15068-2121PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA058425Pennsylvania