Healthcare Provider Details

I. General information

NPI: 1225615123
Provider Name (Legal Business Name): WILLIAM WILL KUENSTNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

3800 RESERVOIR RD NW PASQUERILLA HEALTHCARE CENTER
WASHINGTON DC
20007-2113
US

V. Phone/Fax

Practice location:
  • Phone: 202-687-2818
  • Fax: 877-485-1479
Mailing address:
  • Phone: 202-687-2818
  • Fax: 877-485-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD500003333
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: