Provider Demographics
NPI:1356216303
Name:KUNARD, MERON
Entity type:Individual
Prefix:
First Name:MERON
Middle Name:
Last Name:KUNARD
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:MERON
Other - Middle Name:
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6143 HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66202
Mailing Address - Country:US
Mailing Address - Phone:913-755-5278
Mailing Address - Fax:
Practice Address - Street 1:5675 ROE BLVD
Practice Address - Street 2:
Practice Address - City:ROELAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66205-2515
Practice Address - Country:US
Practice Address - Phone:913-432-2080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-84855-051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily