Provider Demographics
NPI:1497938427
Name:MCCUNE, BRYAN KURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:KURTIS
Last Name:MCCUNE
Suffix:
Gender:M
Credentials:MD
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Other - Middle Name:
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Mailing Address - Street 1:1912 TW ALEXANDER DR
Mailing Address - Street 2:
Mailing Address - City:RESEARCH TRIANGLE PARK
Mailing Address - State:NC
Mailing Address - Zip Code:27709-3973
Mailing Address - Country:US
Mailing Address - Phone:919-361-7725
Mailing Address - Fax:919-361-7797
Practice Address - Street 1:1912 TW ALEXANDER DR
Practice Address - Street 2:
Practice Address - City:RESEARCH TRIANGLE PARK
Practice Address - State:NC
Practice Address - Zip Code:27709-3973
Practice Address - Country:US
Practice Address - Phone:919-361-7725
Practice Address - Fax:919-361-7797
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC31874207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology