Kundel Pediatric Associates, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22787 Issued in MN

Legal business name

KUNDEL PEDIATRIC ASSOCIATES, PA

Practice address

1000 E 1St St
Ste 204
Duluth, MN 55805-2297

Phone

(218) 722-1408

Fax

(218) 722-3055

NPI assigned

Jun 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ray L Kundel, M.D.NPI 1114922754

Title

Owner

Phone

(218) 722-1408

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ray L Kundel, M.D.

  • Pediatrics Physician
  • Duluth, MN
  • NPI 1114922754
  Authorized official Same address or phone

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942205497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST",
            "address_2": "STE 204",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-1408",
            "fax_number": "218-722-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 1ST ST",
            "address_2": "STE 204",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052297",
            "telephone_number": "218-722-1408",
            "fax_number": "218-722-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNDEL PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUNDEL",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-722-1408",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "22787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Kuehn, PA-C
• Timothy Kufahl, MD
• Nedene Marie Kuhlman, RN
• Erin Elizabeth Kukowski, APRN, CRNA
• Andrew C Kulas, PT
• Camille Frances Kundel, PHARM.D.
• Maria L Kundel, M.D.
• Ray L Kundel, M.D.
• Elliott Kunerth, LGSW
• Hannah Lois Kunkel, PA-S

• Pediatrics Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.