DR. KIMBERLY KUNCL (NPI# 1508850173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508850173 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY KUNCL |
| Credential | MD |
| Practice Address |
1791 Mulkey Rd Suite 200 Austell GA 30106-1124 |
| Practice Telephone | 7707325400 |
| Practice Fax Number | 7709435263 |
| Mailing Telephone | 7707325400 |
| Mailing Fax Number | 7709435263 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
047473 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00839506A | 05 | |
| GA | FEDERAL TAX ID# | 58-1397572 | 01 |
| Street Address |
1791 MULKEY RD SUITE 200 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013213651 | Wellstar Medical Group, LLC | Obstetrics & Gynecology | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2011-01-30 |
| 1386859163 | Yoon Jeong Chang | Obstetrics & Gynecology | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2007-05-14 |
| 1144378696 | The Atlatna Cardiology Group, PC | Internal Medicine | 1791 Mulkey Rd, Suite 101, Austell, GA 30106-1124 | 2007-01-08 |
| 1215983515 | Lorenzo Cabrera, Md D/b/a Cobb Gynecologists | Obstetrics & Gynecology | 1791 Mulkey Rd, Sutie 200, Austell, GA 30106-1124 | 2006-05-26 |
| 1568439206 | Steven H. Lee | Obstetrics & Gynecology | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2006-03-01 |
| 1639144124 | Georgia Ronningen | Nurse Practitioner | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2006-02-20 |
| 1689646598 | William David Green | Obstetrics & Gynecology | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2006-02-03 |
| 1588636898 | Linda Range | Advanced Practice Midwife | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2006-02-02 |
| 1528030749 | Terri Twyford | Advanced Practice Midwife | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2006-02-02 |
| 1730151028 | Lorenzo Cabrera | Obstetrics & Gynecology | 1791 Mulkey Rd, Suite 200, Austell, GA 30106-1124 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757907 | Atlanta Midtown Gynecology 2 LLC | Obstetrics & Gynecology | 842 N Highland Ave Ne Ste 250, Atlanta, GA 30306-4514 | 2018-07-19 |
| 1922481522 | Anna Carter | Obstetrics & Gynecology | 1700 Tree Ln Ste 290, Snellville, GA 30078-6748 | 2015-07-01 |
| 1164832101 | Desiree Ogbedei Ashong Simon | Obstetrics & Gynecology | 1300 Upper Hembree Rd Ste D, Roswell, GA 30076-0927 | 2014-04-29 |
| 1427303411 | Cynthia C Mercer Md PC | Obstetrics & Gynecology | 77 Weaver Rd Ste A, Blairsville, GA 30512-3136 | 2012-07-17 |
| 1972892388 | John Yongseung Lee | Obstetrics & Gynecology | 1325 Satellite Blvd Nw Bldg 700, Suwanee, GA 30024-4651 | 2011-04-06 |
| 1427235597 | Khadeja Haye | Obstetrics & Gynecology | 69 Jesse Hill Jr Dr, Atlanta, GA 30303 | 2008-01-30 |
| 1215111992 | Milledgeville Family Practice Center P.C. | Obstetrics & Gynecology | 540 W Thomas St Ste B, Milledgeville, GA 31061-2745 | 2007-12-18 |
| 1992984686 | Michael E Lynch Sr Md PC | Obstetrics & Gynecology | 230 W College St Ste A, Griffin, GA 30224-4249 | 2007-10-30 |
| 1770644650 | Robert H Weinfeld | Obstetrics & Gynecology | Dwight D. Eisenhower Army Medical Center, Bldg 300 Hospital Way, Ft. Gordon, GA 30905 | 2006-12-13 |
| 1073698197 | James D Woods | Obstetrics & Gynecology | 401 S Madison St, Albany, GA 31701-3111 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.