Provider Demographics
NPI:1598789877
Name:KUNSMAN, WILLIAM EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EDWARD
Last Name:KUNSMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 MERIDIAN DR
Mailing Address - Street 2:
Mailing Address - City:PRESTO
Mailing Address - State:PA
Mailing Address - Zip Code:15142-1031
Mailing Address - Country:US
Mailing Address - Phone:412-276-9293
Mailing Address - Fax:412-777-4375
Practice Address - Street 1:27 HECKEL ROAD
Practice Address - Street 2:SUITE 200 MEDICAL OFFICE BUILDING
Practice Address - City:MCKEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136
Practice Address - Country:US
Practice Address - Phone:412-777-4375
Practice Address - Fax:412-777-4378
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016365E173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005953510001Medicaid
PA253480OtherUPMC
PA53088OtherBLUE SHIELD
PA2215527OtherAETNA
PA253480OtherUPMC
PA053088Medicare ID - Type Unspecified