Organization
RANDALL KUNZE DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL KUNZE DPM (OWNER MANAGER PHYSICIAN)
(417) 358-8566
Entity
Organization
Contact information
Practice address
1503 HAZEL ST, CARTHAGE, MO 64836-2829
(417) 358-8566
(417) 358-2428
Mailing address
PO BOX 424, CARTHAGE, MO 64836-0424
(417) 358-8566
(417) 358-2428
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
000634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302951702
—
MO
01
—
480033764
MEDICARE RAILROAD
MO
05
—
506137108
—
MO
05
—
626137103
—
MO
01
—
9912
BCBS MO STANDARD
MO
01
—
HEALTHLINK
139369
MO
Enumeration date
10/23/2006
Last updated
10/01/2008
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