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NPI Code Detail

MEDICARE: KRISTINE A KUNESH-PART M.D.

MEDICARE:   KRISTINE A KUNESH-PART  M.D.
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
1207W00000XOphthalmology Physician35049142OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10820065OTHERUNITED HEALTH CARE
21369116OTHERUMWA
3000000006869OTHERANTHEM
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538200712
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE A KUNESH-PART M.D.
Provider Business Mailing Address
First Line : 2601 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45419-1634
Country : US
Telephone Number : 937-298-1703
Fax Number : 937-298-6344
Provider Business Practice Location Address
First Line : 2601 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45419-1634
Country : US
Telephone Number : 937-298-1703
Fax Number : 937-298-6344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/13/2010

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Directions to “ KRISTINE A KUNESH-PART M.D.” Practice Location

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