Individual
KELLY P GUNTER
Active
Individual
KELLY P GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19968
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3151473
BCBS
TN
05
—
3855812
—
TN
01
—
64025919
KENTUCKY MEDICAID
KY
01
—
7207956
VIRGINIA MEDICAID
VA
01
—
89063PF
NORTH CAROLINA MEDICAID
NC
Enumeration date
05/06/2006
Last updated
07/13/2026
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