Active NPI
Kevin Paul Kunkel, MD
- Plastic Surgery Physician
- Tulsa, OK
National Provider Identifier
1801937370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 23427
- Practice address
- 6465 S Yale Ave
Suite 811
Tulsa, OK 74136-7823 - Phone
- (918) 502-7175
- Fax
- (918) 502-7180
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 23427 | OK | Primary |
Addresses
Primary practice location
6465 S Yale Ave
Suite 811
Tulsa, OK 74136-7823
Mailing address
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3310
Phone (918) 488-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23427 | OK | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Clinic Inc | Current | Accepting new patients | |
| Tulsa Oklahoma Plastic Surgery | Plastic Surgery | Current | Accepting new patients |
Locations
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6465 S Yale Ave
Ste 101
Tulsa, OK 74136
Phone (918) 492-0484
6465 S Yale Ave
Ste 811
Tulsa, OK 74136
Phone (918) 524-0080
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
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.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Plastic Surgery Physician
- Tulsa, OK
- NPI 1164036521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1801937370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE",
"address_2": "SUITE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363310",
"telephone_number": "918-488-6001",
"fax_number": "918-488-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 S YALE AVE",
"address_2": "SUITE 811",
"city": "TULSA",
"state": "OK",
"postal_code": "741367823",
"telephone_number": "918-502-7175",
"fax_number": "918-502-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNKEL",
"first_name": "KEVIN",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OK",
"license": "23427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.