Individual
TIMOTHY C KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
307 S BROADWAY ST, PORTLAND, TN 37148-1413
(615) 323-9158
Mailing address
307 S BROADWAY ST, PORTLAND, TN 37148-1413
(615) 323-9158
(615) 323-9100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1484
TN
207Q00000X
Family Medicine Physician
2126
NE
Other
Enumeration date
03/05/2007
Last updated
11/02/2023
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