Individual
JANEY L KUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(510) 535-7573
Mailing address
4996 MILDEN RD, MARTINEZ, CA 94553-4539
(925) 363-8170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G57462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G574620
—
CA
Enumeration date
01/31/2007
Last updated
07/08/2007
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