MEDICARE: DR. VIRGINIA KUNCH DVM

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	174M00000X	Veterinarian	414	AK

General Provider Information

NPI Number	:	1568833465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA KUNCH DVM

Provider Business Mailing Address
First Line	:	10840 GLAZANOF DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-6486
Country	:	US
Telephone Number	:	907-522-5857
Fax Number	:

Provider Business Practice Location Address
First Line	:	2545 E TUDOR RD
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99507-1130
Country	:	US
Telephone Number	:	907-562-8384
Fax Number	:

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

Provider Enumeration Date	:	10/18/2015
Last Update Date	:	10/18/2015

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