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Individual

DR. JEFFREY ALAN KUNKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33 UPPER RIVERDALE RD SW, SUITE 10, RIVERDALE, GA 30274-2626
(678) 902-0222
(678) 902-0226
Mailing address
33 UPPER RIVERDALE RD SW, SUITE 10, RIVERDALE, GA 30274
(678) 902-0222
(678) 902-0226

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
021535
GA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
021535
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0916972
CIGNA
GA
01
40010664
RAILROAD MEDICARE
GA
01
474159
AETNA
GA
01
52153636
BCBS OF GEORGIA
GA
Enumeration date
07/06/2005
Last updated
06/30/2015
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