Provider Demographics
NPI:1629107073
Name:BD KUNC DC INC
Entity Type:Organization
Organization Name:BD KUNC DC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:B
Authorized Official - Middle Name:D
Authorized Official - Last Name:KUNC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-843-2212
Mailing Address - Street 1:2034 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4236
Mailing Address - Country:US
Mailing Address - Phone:785-843-2212
Mailing Address - Fax:
Practice Address - Street 1:2034 W 27TH ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-4236
Practice Address - Country:US
Practice Address - Phone:785-843-2212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS02735111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS007449OtherPROVIDER NUMBER
KS1396828729OtherNPI