Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW NICHOLAS KUNKELMAN, PA
ActiveMATTHEW NICHOLAS KUNKELMAN, PA is a Physician Assistant healthcare provider located in HOLLY HILL, South Carolina. NPI 1629473012 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HOLLY HILL, SC
Registration Details
- NPI Number
- 1629473012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2014 (11.787176814196 yrs)
- Last Updated
- Jan 6, 2017
- License
-
2209 (SC)
Practice Information
- Address
-
187 BUNCH FORD RDHOLLY HILL, SC, 290598224Browse SC providers · Browse ZIP 29059
- Phone
- 8034963312
- Fax
- 8034967713
- Primary Specialty
-
Physician Assistant
363A00000X
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.