Individual
SCOTT KUNRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0381
ND
363AM0700X
Medical Physician Assistant
PAC0381
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452890
—
ND
Enumeration date
12/07/2007
Last updated
04/18/2017
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