Andra B Kunkle
Pediatrician
906 College Ave Sw Suite C
Lenoir
, North Carolina 28645-5428
Andra B Kunkle
Pediatrician
906 College Ave Sw Suite C
Lenoir
, North Carolina 28645-5428
(828) 757-5104
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Andra B Kunkle
- 321 Mulberry St Sw Medical Staff Services
- Lenoir, NC
- Zip : 28645-5720
- Fax : (828) 757-5104
- Phone : (828) 757-5965
Second Address
- Andra B Kunkle
- 906 College Ave Sw Suite C
- Lenoir, NC
- Zip : 28645-5428
- Fax : (828) 757-5538
- Phone : (828) 757-5509
Reviews
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Is Andra B Kunkle a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 36373 | NC |
National Provider Identifier
| NPI | 1003851437 |
|---|---|
| Provider Name | Andra B Kunkle |
| First Address | Lenoir, NC 28645-5720 |
| Second Address | Lenoir, NC 28645-5428 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2006 |
| Last Update Date | 25/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5044K | BCBS (01) | NC |
| 895044K | (05) | NC |
| F43107 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.