Individual provider Active NPI

Kevin Anthony Kunzer, MD

  • Psychiatry Physician
  • Kalamazoo, MI
National Provider Identifier
1639330624
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301092778 Issued in MI
Practice address
4328 W Michigan Ave
Kalamazoo, MI 49006-5823
Phone
(269) 375-2222
Fax
(269) 375-8292
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301092778 MI Primary

Addresses

Primary practice location

4328 W Michigan Ave
Kalamazoo, MI 49006-5823

Mailing address

4328 W Michigan Ave
Kalamazoo, MI 49006-5823
Phone (269) 375-2222

Other names 1

  • Kevin Anthony Kunzer, MD Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111208000183 MI Practitioner - Psychiatry 7315112034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsychology Associates PLCGroup PAC ID 4385618297, 8 clinicians

Practice addresses (Care Compare)

4328 W Michigan Ave
Kalamazoo, MI 49006-5823
Phone (616) 375-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301092778MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology Associates PLC CurrentSince Sep 1, 2011 Accepting new patients
Pine Rest Christian Mental Health Services Psychiatry PastSince Oct 10, 2018 Accepting new patients

Locations

3325 Greenleaf Blvd
Kalamazoo, MI 49008

4328 W Michigan Ave
Kalamazoo, MI 49006
Phone (269) 375-2222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1639330624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065823",
            "telephone_number": "269-375-2222",
            "fax_number": "269-375-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065823",
            "telephone_number": "269-375-2222",
            "fax_number": "269-375-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZER",
        "first_name": "KEVIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301092778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "KUNZER, MD",
            "middle_name": "ANTHONY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.