Kunkel, Glenn A.

Kunkel, Glenn A. is an individual health care provider with primary practice located at 1000 W 10Th St , Rolla MO 65401-2905. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kunkel, Glenn A. can be contacted via phone (573) 458-8899.

Contact Information

Primary practice address
1000 W 10Th St Rolla MO 65401-2905
Phone: (573) 458-8899
Fax: (573) 341-5611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 113756 Missouri
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 113756 Missouri
Other Service Providers / Specialist 174400000X 113756 Missouri

Profile Details

NPI number 1598761231
LBN Legal business name Kunkel, Glenn A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598761231 NPPES
Missouri MEDICAID 209664002

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