Organization
HERBERT L KUNKLE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT L KUNKLE M.D. (OWNER)
(570) 640-1666
Entity
Organization
Contact information
Practice address
48 TUNNEL RD, SUITE 202, POTTSVILLE, PA 17901-3875
(610) 377-2224
Mailing address
276 HAWKSWORTH DR, OXFORD, PA 19363-2524
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD024230E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406726
MEDICARE ID TYPE-UNSPECIFIED
PA
Enumeration date
05/24/2011
Last updated
09/02/2011
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