Provider Demographics
NPI:1619937471
Name:JUND, KEVIN F (OD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:F
Last Name:JUND
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-7557
Practice Address - Street 1:401 PHALEN BLVD - MS 41102E
Practice Address - Street 2:HEALTHPARTNERS SPECIALTY CENTER 401
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-7500
Practice Address - Fax:651-254-7557
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN2915152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN816971300Medicaid
MNU96472Medicare UPIN
MN410002016Medicare ID - Type Unspecified