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
Address 3316 Fourth Street, Lewiston, Idaho
Phone Number 2087460458
Fax Number 2087436020
Sole Proprietor N
Credentials MD PA

NPI Number Detail

NPI Number 1063589133
Provider Enumeration Date 2006-11-30
Last Updated Date 2012-12-19

Provider Mailing Address Detail

Address 3316 Fourth Street
City Lewiston
State Idaho (ID)
Post Code 835014405
Phone Number 2087460458
Fax Number 2087436020

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
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

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FAQs about John Stephen Kundrat

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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