Organization
GLENN A KUNKEL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN A KUNKEL MD (OWNER)
(660) 826-5960
Entity
Organization
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(660) 826-5960
(660) 826-4852
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
113756
MO
Other
Enumeration date
12/09/2005
Last updated
08/22/2020
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