Individual
ANDRA GODSOE KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
906 COLLEGE AVE SW, SUITE C, LENOIR, NC 28645-5428
(828) 757-5509
(828) 757-5538
Mailing address
321 MULBERRY ST SW, MEDICAL STAFF SERVICES, LENOIR, NC 28645-5720
(828) 757-5965
(828) 757-5104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5044K
BCBS
NC
05
—
895044K
—
NC
Enumeration date
06/19/2006
Last updated
08/21/2023
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