Kelly R Kunkel, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

H2520 Issued in TX

Practice address

1830 8TH Ave
Fort Worth, TX 76110-1391

Phone

(817) 335-5200

Fax

(817) 923-0780

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDBHBA/Endpoint/GDBHBA

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730144502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101391",
            "telephone_number": "817-335-5200",
            "fax_number": "817-923-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101391",
            "telephone_number": "817-335-5200",
            "fax_number": "817-923-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "H2520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuvaraj Darren Kumar, MD
• Arthi Kumaravel, M.D.
• Hari Kumaresan, M.D.
• Jin Heui Kunadi
• Amy Williams Kunkel, APRN
• Laura E Kunkel, MS, LAT, ATC, PES
• Laura S. Kunkel, MSN, APRN, NP-C
• Secret Kunkle, LVN
• Nayana Baby Kunnel, D.O.
• Victoria Alysse Kunselman, DPT

• Plastic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.