Provider Demographics
NPI:1962677427
Name:UNGER, KENDRA ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:ELIZABETH
Last Name:UNGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9152
Mailing Address - Street 2:DEPARTMENT OF FAMILY MEDICINE
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9152
Mailing Address - Country:US
Mailing Address - Phone:304-598-6900
Mailing Address - Fax:304-598-6921
Practice Address - Street 1:DEPARTMENT OF FAMILY MEDICINE
Practice Address - Street 2:ROBERT C BYRD HEALTH SCIENCES CENTER
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9152
Practice Address - Country:US
Practice Address - Phone:304-598-6900
Practice Address - Fax:304-598-6921
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV24082207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine