Individual
KELLY R KUNKEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 8TH AVE, FORT WORTH, TX 76110-1391
(817) 335-5200
(817) 923-0780
Mailing address
1830 8TH AVE, FORT WORTH, TX 76110-1391
(817) 335-5200
(817) 923-0780
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
H2520
TX
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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