Allan B Kunkel, MD
Individual provider Active NPI Internal Medicine Physician · Mt Storm, WV
NPI 1790785681 · NPPES record last updated May 30, 2018
Key facts
- NPI
- 1790785681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 19761 (WV)
- Practice address
- 14311 George Washington Highway
Mt Storm, WV 26739-0077 - Phone
- (304) 693-7616
- Fax
- (304) 693-7776
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19761 | WV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Grant Memorial Hospital | Past |
Accepting new patients | |
| Grant Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19761 | WV | Yes |
Addresses
Primary practice location
14311 George Washington Highway
Mt Storm, WV 26739-0077
Mailing address
PO Box 35
Newburg, WV 26410-0035
Phone (304) 892-2828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000346000 | Medicaid | WV |
Other providers in Mt Storm, WV
- Grant Memorial Hospital
- Sarah Beth Hunt
- Zachary Idleman
- Kimberly Anne Johnson
- Abbi Nichole Kifer
- Carolyn Lower
- Preston Taylor Community Health Centers Incorporated
- Preston Taylor Community Health Centers, Incorporated
- Denise Sirk
All providers in Mt Storm, WV · Internal Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.