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Contact Information

RANDALL KUNZE, DPM
1503 HAZEL ST
CARTHAGE, MO64836-2829
 Phone: 417-358-8566
 Fax: 417-358-8566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RANDALL KUNZE · (Male)

NPI Number 1881662583
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/09/2006
Last updated 09/30/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 000634
  • MO Medicaid 302951702
  • MO Medicaid 626137103
  • MO Other 49433 BCBS MO STANDARD
  • MO Other 3032 COX HEALTH PLAN
  • MO Other 139369 HEALTHLINK
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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