Individual
PATRICK HENRY KUNKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3408
(859) 301-2986
Mailing address
853 CELESTIAL CT, CRESCENT SPRINGS, KY 41017-5309
(859) 301-2999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01060602A
IN
207Q00000X
Family Medicine Physician
Primary
26860
KY
207Q00000X
Family Medicine Physician
35 . 086208
OH
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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