Kelly R Kunkel (NPI# 1730144502, PAC ID# 7810801479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1730144502 |
| PAC ID by PECOS | 7810801479 |
| Professional Enrollment ID | I20031118000204 |
| Full Name | Kelly R Kunkel |
| Address |
1830 8th Ave Fort Worth TX 76110-1391 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1986 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450137 | BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER FORT WORTH |
| 450779 | TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F |
| Address | Phone | Organization |
|---|---|---|
| 1830 8th Ave, Fort Worth, TX 76110-1391 |
| Street Address |
1830 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip | 76110-1391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahid Merchant | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 1800 Park Place Ave, Fort Worth, TX 76110-1302 |
| Channing W Bryant | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 1800 Park Place Ave, Fort Worth, TX 76110-1302 |
| Jerrilea A Hubble | Nurse Practitioner | 1800 Park Place Ave, Fort Worth, TX 76110-1302 | |
| William R Billingsly | Psychologist, Clinical | 1810 8th Ave, B 10, Fort Worth, TX 76110-1352 | |
| Tiwana Bell | Clinical Social Worker | 1814 8th Ave, Suite 7, Fort Worth, TX 76110-1354 | |
| Bradley C Dean | Clinical Social Worker | 1814 8th Ave, Suite B7, Fort Worth, TX 76110-1354 | |
| Latha Shrivatsa | Clinical Social Worker | 1723 Hemphill St, Fort Worth, TX 76110-1516 | |
| Gary L Erickson | Podiatry | 2463 Forest Park Blvd, Fort Worth, TX 76110-1731 | |
| Aasia Daud Janjua | Internal Medicine | 2260 College Ave, Fort Worth, TX 76110-1952 | |
| Allison Elaine Ball | Physical Therapy | Woerner Physical Therapy LLC | 2901 Cleburne Rd, Fort Worth, TX 76110-3400 |
| Find all physicians in zip 76110 | |||
| City | FORT WORTH |
| Zip Code | 76110 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | FORT WORTH + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Kelly R Kunkel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.