Provider Demographics
NPI:1841796570
Name:KUNESH, MARY (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:KUNESH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2601 FAR HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45419-1634
Mailing Address - Country:US
Mailing Address - Phone:937-298-1703
Mailing Address - Fax:937-298-6344
Practice Address - Street 1:2601 FAR HILLS AVE
Practice Address - Street 2:
Practice Address - City:OAKWOOD
Practice Address - State:OH
Practice Address - Zip Code:45419-1634
Practice Address - Country:US
Practice Address - Phone:937-298-1703
Practice Address - Fax:937-298-6344
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.145698207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology