DR. KEVIN JAMES WUNDERLY MD
NPI 1306555057
Student in an Organized Health Care Education/Training Program in Toledo, OH
About Dr. Kevin James Wunderly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEVIN JAMES WUNDERLY MD (NPI 1306555057) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kevin James Wunderly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TOLEDO, OH 43614
TOLEDO, OH 43614
TOLEDO, OH 43614
TOLEDO, OH 43614
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Wunderly's NPI number?
The NPI number for Kevin Wunderly is 1306555057. It was assigned to this individual provider in the NPPES registry on November 22, 2022.
Where is Kevin Wunderly located?
Kevin Wunderly practices at 3000 Arlington Ave, Toledo, OH 43614. The listed phone number is (419) 383-4237.
What is Kevin Wunderly's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kevin Wunderly enrolled in Medicare?
Yes. Kevin Wunderly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kevin Wunderly was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kevin James Wunderly, MD · NPI 1306555057
Student in an Organized Health Care Education/Training Program provider in Toledo, Ohio. Individual provider, active in the CMS NPPES registry since November 22, 2022.
## Identity
- **NPI:** 1306555057 (Entity type: Individual)
- **Enumerated:** November 22, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 ARLINGTON AVE, Toledo, OH 43614-2598
- **Phone:** (419) 383-4237
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1306555057) · Data from the CMS NPPES public registry.