Provider Demographics
NPI:1265418586
Name:KUNZE, JOEL C (PA)
Entity type:Individual
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First Name:JOEL
Middle Name:C
Last Name:KUNZE
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Gender:M
Credentials:PA
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Mailing Address - Street 1:10 3RD AVE NE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-5044
Mailing Address - Country:US
Mailing Address - Phone:828-304-6363
Mailing Address - Fax:828-304-0033
Practice Address - Street 1:10 3RD AVE NE
Practice Address - Street 2:SUITE 500
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-5044
Practice Address - Country:US
Practice Address - Phone:828-304-6363
Practice Address - Fax:828-304-0033
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2016-08-05
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Provider Licenses
StateLicense IDTaxonomies
NC102190363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2742823EMedicare Oscar/Certification
S27772Medicare UPIN