MEDICARE: CAMERON KUNKLE

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1548115520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON KUNKLE

Provider Business Mailing Address
First Line	:	PSC 402 BOX 52
Second Line	:
City	:	APO
State	:	AE
Zip	:	09180-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3630 STANLEY RD
Second Line	:
City	:	FORT SAM HOUSTON
State	:	TX
Zip	:	78234-7697
Country	:	US
Telephone Number	:	210-221-6498
Fax Number	:

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ CAMERON KUNKLE ” Practice Location

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