Individual
ALAN R KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2203 E LITTLE CREEK RD, NORFOLK, VA 23518-4205
(757) 583-2181
(757) 480-6482
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3542
(757) 686-0230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102050042
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005645794
—
VA
01
—
24438
SENTARA/OPTIMA
VA
01
—
437340
ANTHEM
VA
01
—
541595397
CIGNA
VA
Enumeration date
02/14/2006
Last updated
04/12/2010
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