Provider Demographics
NPI:1639424625
Name:KUNDER, DARCIE (VMD)
Entity Type:Individual
Prefix:DR
First Name:DARCIE
Middle Name:
Last Name:KUNDER
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 DELANCEY ST
Mailing Address - Street 2:RYAN VETERINARY HOSPITAL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5052
Mailing Address - Country:US
Mailing Address - Phone:215-898-8861
Mailing Address - Fax:
Practice Address - Street 1:3900 DELANCEY ST
Practice Address - Street 2:RYAN VETERINARY HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5052
Practice Address - Country:US
Practice Address - Phone:215-898-8861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6383-50174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI6383-50OtherWISCONSIN VETERINARY LICENSE