Individual
ROGER W. KUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1455
Mailing address
753 MARBURY CIR NE, HARTVILLE, OH 44632-8899
(330) 949-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003226
GA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
50.002776
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001329A
—
GA
05
—
100001329B
—
GA
Enumeration date
02/23/2006
Last updated
04/17/2023
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