Individual
JOHN KUNKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1201 GRAMPIAN BLVD STE 2F, WILLIAMSPORT, PA 17701-1965
(570) 321-2020
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(888) 647-9600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS022100
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OS022100
PA
Other
Enumeration date
03/11/2016
Last updated
07/15/2022
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