KELLY R. KUNKEL, M.D., P.A.
NPI 1902227424
Specialist in Fort Worth, TX

Active since December 31, 2013
1830 8TH AVE, FORT WORTH, TX 76110(817) 335-5200(817) 923-0780 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly R. Kunkel, M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY R. KUNKEL, M.D., P.A. (NPI 1902227424) is a healthcare organization registered as a specialist in Fort Worth, Texas and active in the NPI registry since December 2013. The organization lists Kelly Raymond Kunkel, President, as its authorized official.

NPPES Registry Identity

NPI1902227424
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKELLY R. KUNKEL, M.D., P.A.
Location Address1830 8TH AVEFort Worth, TX 76110-1391
Mailing Address1830 8th AveFort Worth, TX 76110-1391 · (817) 335-5200 · Fax (817) 923-0780
Fax(817) 923-0780
Organization SubpartNo
Authorized OfficialKelly Raymond KunkelPresident · (817) 335-5200
Enumeration DateDecember 31, 2013
NPI 1902227424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · 208650122X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1830 8TH AVE, Fort Worth, TX 76110

Other Identifiers 1

Other0025AATX · Medicare Identification Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
1830 8TH AVE
FORT WORTH, TX 76110

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 Kelly R. Kunkel, M.D., P.A.'s NPI number?

The NPI number for Kelly R. Kunkel, M.D., P.A. is 1902227424. It was assigned to this organization in the NPPES registry on December 31, 2013.

Where is Kelly R. Kunkel, M.D., P.A. located?

Kelly R. Kunkel, M.D., P.A. is located at 1830 8th Ave, Fort Worth, TX 76110. The listed phone number is (817) 335-5200.

What is Kelly R. Kunkel, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly R. Kunkel, M.D., P.A. was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.