Provider Demographics
NPI:1265438808
Name:KUNZ, KEARY P (MD)
Entity type:Individual
Prefix:DR
First Name:KEARY
Middle Name:P
Last Name:KUNZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:520 N CHELAN AVE
Mailing Address - Street 2:WENATCHEE ORTHOPAEDICS
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-6697
Mailing Address - Country:US
Mailing Address - Phone:509-662-2211
Mailing Address - Fax:509-662-8756
Practice Address - Street 1:520 N CHELAN AVE
Practice Address - Street 2:WENATCHEE ORTHOPAEDICS
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6697
Practice Address - Country:US
Practice Address - Phone:509-662-2211
Practice Address - Fax:509-662-8756
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00020096207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1265438808Medicaid
WAG8925479, G8925480Medicare PIN
WAA07565Medicare UPIN