Provider Demographics
NPI:1740215664
Name:DAVID KUNDEL MD PC
Entity Type:Organization
Organization Name:DAVID KUNDEL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAIVD
Authorized Official - Middle Name:G
Authorized Official - Last Name:KUNDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:712-852-9715
Mailing Address - Street 1:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:EMMETSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50536-0313
Mailing Address - Country:US
Mailing Address - Phone:712-852-9715
Mailing Address - Fax:712-852-9715
Practice Address - Street 1:3201 1ST ST
Practice Address - Street 2:PALO ALTO COUNTY HEALTH SYSTEM
Practice Address - City:ST. EMMETSBURG
Practice Address - State:IA
Practice Address - Zip Code:50536
Practice Address - Country:US
Practice Address - Phone:712-852-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty