Alan H Kunkel Jr DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC001547L Issued in PA

Legal business name

ALAN H KUNKEL JR DC PC

Practice address

964 Chestnut St
Wind Gap, PA 18091-1635

Phone

(610) 863-9220

Fax

(610) 863-8344

NPI assigned

Jun 6, 2007

Last updated

Oct 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly A Backenstoe

Title

Billing Dept

Phone

(610) 751-1289

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1275736696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 CHESTNUT ST",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911635",
            "telephone_number": "610-863-9220",
            "fax_number": "610-863-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 CHESTNUT ST",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911635",
            "telephone_number": "610-863-9220",
            "fax_number": "610-863-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN H KUNKEL JR DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BACKENSTOE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING DEPT",
        "authorized_official_telephone_number": "610-751-1289"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001547L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "151631",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew Robert Baccarella
• Isaac Bachert, DPT
• Kalynn Bachman

• Chiropractor in Wind Gap, PA
• Providers in Wind Gap, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.