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Contact Information

LISA L KUNTZ, CRNP
52 MEDICAL PARK DRIVE EAST
STE 307
BIRMINGHAM, AL35235
 Phone: 205-838-3047
 Fax: 205-838-3497
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA L KUNTZ · (Female)

NPI Number 1982710299
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 08/21/2006
Last updated 04/21/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AL License # KUNI04291580
  • AL Medicaid 051552793
  • AL Other 051500128 BCBS OF AL
  • AL Other 051517707 BCBS OF ALABAMA
  • AL Other 1982710299 NPI
  • AL Other 63-0620636 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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