NPI 1063589133

John Stephen Kundrat, MDPA

Practitioner Ophthalmology Physician Lewiston, ID

Practice location

Address: 3316 Fourth Street, Lewiston, ID 83501-4405
Phone: (208) 746-0458
Fax: (208) 743-6020
Mailing address: 3316 Fourth Street Bldg 3, Lewiston, ID 83501-4405

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M3432 (ID)

Other Ophthalmology providers in Idaho →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD00014874 (WA)

Registry record

NPI: 1063589133
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Nov 2006
Record last updated: 19 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.