Individual
DR. PAUL KUNNATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-6100
(314) 977-6164
Mailing address
1225 S GRAND BLVD, CSM LEVEL 2, SAINT LOUIS, MO 63104-1016
(314) 977-6100
(314) 977-6164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019015684
MO
Other
Enumeration date
04/20/2016
Last updated
01/13/2021
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