MEDICARE: KUNS FAMILY MEDICINE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CF1602	OTHER	OH	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1255409777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KUNS FAMILY MEDICINE INC

Provider Business Mailing Address
First Line	:	101 S. WASHINGTON ST.
Second Line	:
City	:	CASTALIA
State	:	OH
Zip	:	44824
Country	:	US
Telephone Number	:	419-684-5369
Fax Number	:	419-684-7238

Provider Business Practice Location Address
First Line	:	101 S. WASHINGTON ST.
Second Line	:
City	:	CASTALIA
State	:	OH
Zip	:	44824
Country	:	US
Telephone Number	:	419-684-5369
Fax Number	:	419-684-7238

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRYAN P KUNS
Credential	:	D.O.
Telephone Number	:	419-684-5369

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	08/22/2020

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1750384814 — DR. BRYAN PATRICK KUNS D.O.
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1851519748 — KENDRA S DIDION LISW
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Directions to “KUNS FAMILY MEDICINE INC ” Practice Location

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