Donald J Kunze, GC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

QB719655 Issued in MN

Practice address

14527 Maple Knoll Rd
Pine City, MN 55063-4518

Phone

(320) 630-5670

NPI assigned

May 16, 2024

Last updated

May 16, 2024By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1942059415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14527 MAPLE KNOLL RD",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550634518",
            "telephone_number": "320-630-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14527 MAPLE KNOLL RD",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550634518",
            "telephone_number": "320-630-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZE",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "GC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "MN",
            "license": "QB719655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Johnson, PHARMD
• Katherine Elizabeth Johnson, MA, LP
• Angela Marie Kemen, MSW, LICSW
• Katie Janice Keran
• Jonelle Klemz, MSW, LICSW
• Lynette Rae Kuzel
• Bethany Lake, LMFT
• Lakeside Medical Center, Inc
• Lakeside Medical Center, Inc.
• Lakeside Medical Center, Inc.

• Home Modifications Contractor in Pine City, MN
• Providers in Pine City, MN by specialty
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.