Individual
DR. KYLE EDWIN KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD OPTOMETRIST
Contact information
Practice address
1234 CEDAR ST, HELENA, MT 59601
(406) 442-7130
(406) 442-7317
Mailing address
1234 CEDAR ST, HELENA, MT 59601
(406) 442-7130
(406) 442-7317
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
435
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487045
—
MT
Enumeration date
07/10/2006
Last updated
07/22/2010
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