Healthcare Provider Details

I. General information

NPI: 1316704489
Provider Name (Legal Business Name): VIKTOR KUNDER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: VIKTOR KUNDER MD

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
US

IV. Provider business mailing address

4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
US

V. Phone/Fax

Practice location:
  • Phone: 702-653-2273
  • Fax:
Mailing address:
  • Phone: 702-653-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number0102209461
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0102209461
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: