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Charles H Kuntz
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NPI Number Detailed Information
Provider Information:
| Name: | Charles H Kuntz |
| Gender: | M |
| Provider License Number If Given: | 35026754K |
NPI Information:
| NPI: | 1396744819 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 2/20/2008 |
Provider Business Mailing Address:
| Address: | PO BOX 42468 Cincinnati, OH 45242 |
| Phone Number: | 5139658041 |
| Fax Number: | 5139658091 |
Provider Business Practice Location Address:
| Address: | 10500 MONTGOMERY RD Cincinnati, OH 45242 |
| Phone Number: | 5139658041 |
| Fax Number: | 5139658091 |
Provider Taxonomy:
| Primary: | 2085R0202X |
| Secondary (if any): | |
| State: | OH |
