IndividualActive
John Kundrat, MD PA
NPI 1063589133 · Ophthalmology Physician · Lewiston, ID
Provider details
- NPI number
- 1063589133
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PA
- Sex
- Male
- Sole proprietor
- No
- License
- M3432 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3316 Fourth Street
Lewiston, ID 83501-4405
Phone: (208) 746-0458
Fax: (208) 743-6020
Approximate (ZIP-level) locationGet directions
Mailing address
3316 Fourth Street
Lewiston, ID 83501-4405
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2012-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.