Provider Demographics
NPI:1083682587
Name:ACUNA, DAVID L (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:ACUNA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 E MURDOCK, SUITE 404
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208
Mailing Address - Country:US
Mailing Address - Phone:316-685-6222
Mailing Address - Fax:316-685-1273
Practice Address - Street 1:3243 E MURDOCK, SUITE 404
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208
Practice Address - Country:US
Practice Address - Phone:316-685-6222
Practice Address - Fax:316-685-1273
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-30771208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200717OtherHEALTH PARTNERS OF KANSAS
KS200264520CMedicaid
OK200033430AMedicaid
KS200264520AMedicaid
KS103921OtherBLUE CROSS BLUE SHIELD
KS926829OtherFIRSTGUARD
KSDB6539OtherRAILROAD MEDICARE
KS200717OtherHEALTH PARTNERS OF KANSAS
F09134Medicare UPIN