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Individual
GORDON DAVID KUNTZ
Active
Individual
GORDON DAVID KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13582171111
KS
363L00000X
Nurse Practitioner
Primary
74162
KS
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74162
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249170B
—
KS
Enumeration date
01/30/2007
Last updated
06/23/2026
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