Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN STEPHEN KUNDRAT, MD PA
ActiveOphthalmology · LEWISTON, ID
Registration Details
- NPI Number
- 1063589133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2006 (19.407649185373 yrs)
- Last Updated
- Dec 19, 2012
- Licenses
-
M3432 (ID)MD00014874 (WA)
Practice Information
- Address
-
3316 FOURTH STREETLEWISTON, ID, 835014405Browse ID providers · Browse ZIP 83501
- Phone
- 2087460458
- Fax
- 2087436020
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.