Kuntz, Gordon David

Kuntz, Gordon David is an individual health care provider with primary practice located at 208 E 7Th , Hays KS 67601. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Kuntz, Gordon David can be contacted via phone (785) 628-2871.

Contact Information

Primary practice address
208 E 7Th Hays KS 67601
Fax: (785) 628-0426
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 13582171111 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 74162 Kansas

Profile Details

NPI number 1124165485
LBN Legal business name Kuntz, Gordon David
Credentials ARNP CS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 27th, 2012 - about 13 years ago

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 1124165485 NPPES
Kansas MEDICAID 100249170B

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