Allan Burt Kunkel (NPI# 1790785681, PAC ID# 6406854678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1790785681 |
PAC ID by PECOS | 6406854678 |
Professional Enrollment ID | I20061122000301 |
Full Name | Allan Burt Kunkel |
Organization Legal Name | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
Address |
14311 George Washington Hwy Mount Storm WV 26739 |
Phone Number | 3046937616 |
Gender | M |
Credential | MD |
Graduation Year | 1966 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 3072406438 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
511316 | GRANT MEMORIAL HOSPITAL |
210017 | GARRETT COUNTY MEMORIAL HOSPITAL |
511315 | POTOMAC VALLEY HOSPITAL |
Address | Phone | Organization |
---|---|---|
14311 George Washington Hwy, Mount Storm, WV 26739 | 3046937616 | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
Organization Legal Name | PRESTON-TAYLOR COMMUNITY HEALTH CENTERS, INCORPORATED |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela K. Browning | Nurse Practitioner | Preston-taylor Community Health Centers, Incorporated | 30 Cortland Acres Ln, Thomas, WV 26292-8066 |
Mary C Gainer | Family Practice | Preston-taylor Community Health Centers, Incorporated | 2060 N Mountaineer Hwy, Newburg, WV 26410-0159 |
Peter V Wentzel | Family Practice | Preston-taylor Community Health Centers, Incorporated | 725 N Pike St, Grafton, WV 26354-1270 |
Andrew Miles Foy | Family Practice | Preston-taylor Community Health Centers, Incorporated | 2604 Grange Hall Rd, Eglon, WV 26716-8774 |
Edwin L. Rader | Family Practice | Preston-taylor Community Health Centers, Incorporated | 30 Cortland Acres Ln, Thomas, WV 26292-8066 |
Street Address |
14311 GEORGE WASHINGTON HWY |
City | MOUNT STORM |
State | WV |
Zip | 26739 |
City | MOUNT STORM |
Zip Code | 26739 |
Specialty | FAMILY PRACTICE |
City + Specialty | MOUNT STORM + FAMILY PRACTICE |
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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.