Provider Demographics
NPI:1396995973
Name:KUNZE, KENNETH CLARKE (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:CLARKE
Last Name:KUNZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 LONG RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:SC
Mailing Address - Zip Code:29685-1864
Mailing Address - Country:US
Mailing Address - Phone:864-868-9001
Mailing Address - Fax:864-868-9001
Practice Address - Street 1:270 LONG RIDGE RD
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:SC
Practice Address - Zip Code:29685-1864
Practice Address - Country:US
Practice Address - Phone:864-868-9001
Practice Address - Fax:864-868-9001
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD12227207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology