Provider Demographics
NPI:1720038896
Name:KUNKEMUELLER, ANDREW F (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:F
Last Name:KUNKEMUELLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HOLLAND WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2997
Mailing Address - Country:US
Mailing Address - Phone:603-580-7525
Mailing Address - Fax:603-580-7525
Practice Address - Street 1:5 ALUMNI DR FL 2
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2128
Practice Address - Country:US
Practice Address - Phone:603-580-7525
Practice Address - Fax:603-580-7542
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10952207R00000X, 208M00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3077621Medicaid
NH020473740OtherGREAT WEST HEALTHCARE
NH110205951OtherRAILROAD MEDICARE
NHG90206OtherHARVARD PILGRIM
NH01YP02471NH01OtherANTHEM
NH020473740OtherTRICARE
NH2345822OtherAETNA
NH30201015Medicaid
NH020473740OtherPRIVATE HEALTHCARE SYSTEM
NH020473740OtherUNITED HEALTHCARE
NH2924914OtherCIGNA
NH020473740OtherHEALTHCARE VALUE MANAGEME
NH020473740OtherHUMANA CHOICE CARE NETWOR
NH020473740OtherUNITED HEALTHCARE