Provider Demographics
NPI:1659442937
Name:UNGER, KIEL WILLIAM (LMT)
Entity Type:Individual
Prefix:MR
First Name:KIEL
Middle Name:WILLIAM
Last Name:UNGER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4928 MAYMONT PARK CIR
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-8080
Mailing Address - Country:US
Mailing Address - Phone:941-932-0488
Mailing Address - Fax:954-900-1574
Practice Address - Street 1:6120 SR 70 EAST
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203
Practice Address - Country:US
Practice Address - Phone:941-932-0488
Practice Address - Fax:954-900-1574
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No174400000XOther Service ProvidersSpecialist