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Individual

DR. JAMES RICHARD KUNKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
880 OAK PARK BLVD, SUITE 103, ARROYO GRANDE, CA 93420
(805) 474-9550
(805) 474-9552
Mailing address
880 OAK PARK BLVD, SUITE 103, ARROYO GRANDE, CA 93420
(805) 474-9550
(805) 474-9552

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G74608
CA
207N00000X
Dermatology Physician
G74608
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05D685938
CLIA
Enumeration date
01/17/2006
Last updated
09/11/2025
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