Individual
DR. STEPHEN KUNZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19609 E 9TH ST S, INDEPENDENCE, MO 64056-3088
(816) 796-1412
(816) 796-3398
Mailing address
10205 CATALINA ST, OVERLAND PARK, KS 66207-3622
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
R6578
MO
2085R0202X
Diagnostic Radiology Physician
04-28026
KS
2085R0202X
Diagnostic Radiology Physician
Primary
R6578
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00152855
RR MEDICARE
MO
01
—
P00237690
RR MEDICARE
KS
Enumeration date
03/16/2006
Last updated
03/13/2008
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