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Individual
MARK W KUNKEL
Active
Individual
MARK W KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
195
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000078227
BLUE CROSS
AL
05
—
000078227
—
AL
05
—
009931924
—
AL
01
—
051528924
BLUE CROSS
AL
Enumeration date
06/29/2006
Last updated
06/14/2011
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