Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD054299L | PA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD054299L | PA |
NPI | 1063413425 |
---|---|
Provider Name | David G Kuntz JR. |
First Address | York, PA 17402-9001 |
Second Address | Lebanon, PA 17042-7485 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 14/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200030997 | RAILROAD MEDICARE (01) | PA |
278421 | HIGHMARK BLUE SHIELD (01) | PA |
G77255 | (02) | PA |