MEDICARE: DR. DAVID ARTHUR KUNKLE M.D.

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	208800000X	Urology Physician	2008-00601	NC

General Provider Information

NPI Number	:	1992972160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ARTHUR KUNKLE M.D.

Provider Business Mailing Address
First Line	:	100 KIMEL FOREST DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-6074
Country	:	US
Telephone Number	:	336-716-0238
Fax Number	:

Provider Business Practice Location Address
First Line	:	1915 W PARK DR STE 101
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3777
Country	:	US
Telephone Number	:	336-651-8700
Fax Number	:	336-651-8710

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	06/07/2022

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