Doctor Name: | DR. TRACEY BLAIR KUNTZ |
NPI Number: | 1316901598 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 36349 |
Business Practice Address: | 3940 Dupont Circle Louisville, KY - 40207 |
Business Phone Number: | 5028951111 |
Business Fax Number: | 5028951085 |
Mailing Address: | 2700 Stanley Gault Pkwy, Suite 129 LOUISVILLE |
State: | KY |
Postal Code: | 402235132 |
Phone Number: | 5022534917 |
Fax Number: | 5024895751 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 36349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |