Individual
MR. KRISTIAN JAMES KUNICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 130, NOTTINGHAM, MD 21236-5908
(443) 442-2080
(443) 442-2089
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00101100
NJ
363A00000X
Physician Assistant
Primary
C00003786
MD
Other
Enumeration date
06/29/2006
Last updated
08/15/2025
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