Healthcare Provider Details

I. General information

NPI: 1003494295
Provider Name (Legal Business Name): VICTORIA NOELLE KUNKEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 E MEYER BLVD STE 392
KANSAS CITY MO
64132-1129
US

IV. Provider business mailing address

2340 E MEYER BLVD STE 392
KANSAS CITY MO
64132-1129
US

V. Phone/Fax

Practice location:
  • Phone: 816-444-7977
  • Fax:
Mailing address:
  • Phone: 816-444-7977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number2026008366
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number04-52923
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: