John Stephen Kundrat in Lewiston - Ophthalmology
John Stephen Kundrat - NPI 1063589133
John Stephen Kundrat is a Ophthalmology in Lewiston, Idaho. John Stephen Kundrat practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for John Stephen Kundrat is 1063589133. The last update date is 2012-12-19.
John Stephen Kundrat's current location address is 3316 Fourth Street, Lewiston, Idaho. You can contact this provider via phone number 2087460458 and fax number 2087436020. The mailing address for John Stephen Kundrat is 3316 Fourth Street, Lewiston, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Stephen Kundrat |
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Address | 3316 Fourth Street, Lewiston, Idaho |
Phone Number | 2087460458 |
Fax Number | 2087436020 |
Sole Proprietor | N |
Credentials | MD PA |
NPI Number Detail
NPI Number | 1063589133 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2012-12-19 |
Provider Mailing Address Detail
Address | 3316 Fourth Street |
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City | Lewiston |
State | Idaho (ID) |
Post Code | 835014405 |
Phone Number | 2087460458 |
Fax Number | 2087436020 |
Provider's Primary Taxonomy Detail
Speciality | Ophthalmology |
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Taxonomy | 207W00000X |
Licence No | M3432 |
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2460100 | ID | -- | |
1478601 | WA | MEDICAID |
Post Comment/ Review Below
What is the John Stephen Kundrat's 1063589133?
The John Stephen Kundrat's NPI (National Provider Identifier) Number is 1063589133. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John Stephen Kundrat is geographically located?
The John Stephen Kundrat is physically situated at the following location: 3316 Fourth Street, Lewiston, ID, 835014405.
What is John Stephen Kundrat's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Stephen Kundrat's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
On what date did the John Stephen Kundrat receive its 1063589133 assignment from the Centers for Medicare & Medicaid Services?
The John Stephen Kundrat was assigned its 1063589133 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the details pertaining to John Stephen Kundrat last refreshed?
The information related to the John Stephen Kundrat, including its address, specialty, and other relevant details, was last updated on 2012-12-19.
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