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Individual

ALAN R KUNKEL

Active
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Individual

ALAN R KUNKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102050042
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005645794
—
VA
01
—
24438
SENTARA/OPTIMA
VA
01
—
437340
ANTHEM
VA
01
—
541595397
AETNA
VA
Enumeration date
02/14/2006
Last updated
04/12/2010
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