Individual
DR. RANDALL KUNZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1503 HAZEL ST, CARTHAGE, MO 64836-2829
(417) 358-8566
(417) 358-8566
Mailing address
PO BOX 424, CARTHAGE, MO 64836-0424
(417) 358-8566
(417) 358-8566
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139369
HEALTHLINK
MO
05
—
302951702
—
MO
01
—
3032
COX HEALTH PLAN
MO
01
—
49433
BCBS MO STANDARD
MO
05
—
626137103
—
MO
Enumeration date
03/09/2006
Last updated
09/30/2008
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