| Doctor Name: | KUNAL MANOHAR PATEL |
| NPI Number: | 1578768131 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 4301090426 |
| Business Practice Address: | 333 N Commercial St Suite 100 Neenah, WI - 549562657 |
| Business Phone Number: | 9208867525 |
| Business Fax Number: | 9207227454 |
| Mailing Address: | 333 N Commercial St, Suite 100 NEENAH |
| State: | WI |
| Postal Code: | 549562657 |
| Phone Number: | 6147222350 |
| Fax Number: | 6147222332 |
| NPI Enumeration Date: | 06/15/2007 |
| NPI Last Update Date: | 07/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 4301090426 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |