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Kelly R. Kunkel, M.d., P.a.
Specialist in Fort Worth, Texas
NPI 1902227424

Kelly R. Kunkel, M.d., P.a. is a Specialist based in Fort Worth, TX. Kelly R. Kunkel, M.d., P.a. practices in Fort Worth, TX. The NPI Number for Kelly R. Kunkel, M.d., P.a. is 1902227424 and holds a License No. 208650122X (Texas).

The current practice location address for Kelly R. Kunkel, M.d., P.a. is 1830 8Th Ave, Fort Worth, TX and can be reached out via phone at 817-335-5200 and via fax at 817-923-0780.

Location: 1830 8Th Ave, Fort Worth, TX, 76110-1391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902227424
Provider Name
Kelly R. Kunkel, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
1830 8Th Ave, Fort Worth, TX, 76110-1391
Phone Number
817-335-5200
Fax Number
817-923-0780
Provider Enumeration Date
12/31/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0025AA 01 TX MEDICARE IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1830 8Th Ave
City
Fort Worth
State
Texas
Zip
76110-1391
Phone Number
817-335-5200
Fax Number
817-923-0780
person
Provider Business Mailing Address Details
Address
1830 8Th Ave
City
Fort Worth
State
Texas
Zip
76110-1391
Phone Number
817-335-5200
Fax Number
817-923-0780
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
208650122X (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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