MEDICARE: BARBARA KARLHEIM KUNKEL MD

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	2085R0202X	Diagnostic Radiology Physician	MD010270E	PA

General Provider Information

NPI Number	:	1235126251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA KARLHEIM KUNKEL MD

Provider Business Mailing Address
First Line	:	629 LOWTHER RD
Second Line	:	D
City	:	LEWISBERRY
State	:	PA
Zip	:	17339-9527
Country	:	US
Telephone Number	:	717-938-2765
Fax Number	:	717-932-3095

Provider Business Practice Location Address
First Line	:	4230 CRUMS MILL RD
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-2898
Country	:	US
Telephone Number	:	717-972-4900
Fax Number	:	717-972-4960

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	07/08/2007

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