Healthcare Provider Details

I. General information

NPI: 1255409777
Provider Name (Legal Business Name): KUNS FAMILY MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S. WASHINGTON ST.
CASTALIA OH
44824
US

IV. Provider business mailing address

101 S. WASHINGTON ST.
CASTALIA OH
44824
US

V. Phone/Fax

Practice location:
  • Phone: 419-684-5369
  • Fax: 419-684-7238
Mailing address:
  • Phone: 419-684-5369
  • Fax: 419-684-7238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRYAN P KUNS
Title or Position: PRESIDENT
Credential: D.O.
Phone: 419-684-5369