Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 312161 | LA |
Y | 207X00000X | Orthopaedic Surgeon | 66201 | GA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 312161 | LA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 66201 | GA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 312161 | LA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 66201 | GA |
NPI | 1700049699 |
---|---|
Provider Name | Justin Ronald Kunes |
First Address | Alpharetta, GA 30009-2521 |
Second Address | Alpharetta, GA 30009-2521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 14/05/2020 |