Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101245376 | VA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MT188926 | PA |
NPI | 1003949751 |
---|---|
Provider Name | Dr. Richard Daniel Kunz |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5051 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 11/05/2011 |