Provider Demographics
NPI:1194815894
Name:KUNZ, MARTIN VINCENT (DC)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:VINCENT
Last Name:KUNZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5160 N FRESNO ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-6855
Mailing Address - Country:US
Mailing Address - Phone:559-320-2667
Mailing Address - Fax:559-435-4866
Practice Address - Street 1:5160 N FRESNO ST
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6855
Practice Address - Country:US
Practice Address - Phone:559-320-2667
Practice Address - Fax:559-435-4866
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor