Provider Demographics
NPI:1679568471
Name:KUNKLE, THOMAS PAUL (DO)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:PAUL
Last Name:KUNKLE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:890 POPLAR CHURCH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011
Mailing Address - Country:US
Mailing Address - Phone:717-737-3465
Mailing Address - Fax:717-737-8561
Practice Address - Street 1:890 POPLAR CHURCH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011
Practice Address - Country:US
Practice Address - Phone:717-737-3465
Practice Address - Fax:717-737-8561
Is Sole Proprietor?:No
Enumeration Date:2005-09-18
Last Update Date:2018-08-15
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Provider Licenses
StateLicense IDTaxonomies
PAOS003725L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D98614Medicare UPIN