Provider Demographics
NPI:1992859839
Name:KUNEC AND LAYUG LLP
Entity Type:Organization
Organization Name:KUNEC AND LAYUG LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-604-3228
Mailing Address - Street 1:14201 LAUREL PARK DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5203
Mailing Address - Country:US
Mailing Address - Phone:301-604-3225
Mailing Address - Fax:301-604-0073
Practice Address - Street 1:14201 LAUREL PARK DR
Practice Address - Street 2:SUITE 111
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5203
Practice Address - Country:US
Practice Address - Phone:301-604-3225
Practice Address - Fax:301-604-0073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD50349174400000X
MDD24388174400000X
MDD47363174400000X
MDD41258174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD699718000Medicaid
MD620519Medicare PIN
MD005929K19Medicare UPIN
MD1309360001Medicare NSC
MD200026502Medicare PIN
MD777377K19Medicare UPIN
MD699718000Medicaid
MD017308K19Medicare UPIN