Individual
TARA L KUNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4800 FRIENDSHIP AVE, PITTSBURGH, PA 15224-1722
(412) 578-1783
(412) 578-0139
Mailing address
PO BOX 49, PITTSBURGH, PA 15230-0049
(412) 937-5949
(412) 937-5705
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051317
PA
Other
Enumeration date
06/02/2005
Last updated
03/06/2008
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