Provider Demographics
NPI:1528297884
Name:CUNARD, KALA K (MD, LLC)
Entity type:Individual
Prefix:
First Name:KALA
Middle Name:K
Last Name:CUNARD
Suffix:
Gender:F
Credentials:MD, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 HOSPITAL DR.
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31217
Mailing Address - Country:US
Mailing Address - Phone:478-742-1010
Mailing Address - Fax:478-742-4561
Practice Address - Street 1:330 HOSPITAL DR
Practice Address - Street 2:SUITE 304
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-3899
Practice Address - Country:US
Practice Address - Phone:478-742-8760
Practice Address - Fax:478-742-4561
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA69106207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine