Dr. Patrick Kunkel , DO
Internal Medicine โข Spokane, WA
546 N Jefferson Ln
Spokane, WA 992017104
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Patrick Kunkel is listed in NPPES under Internal Medicine.
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NPI assigned on May 7, 2018; this date does not establish years in practice.
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Published CMS data list 1,587 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 634 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 311 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 254 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 7,721 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 715 prescription fills, including refills.
- Lisinopril โ 396 prescription fills, including refills.
- Losartan Potassium โ 388 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 114 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Spokane, WA (2024, 148 clinicians with data). Median for this group: 490. Middle half: 209 to 712.
More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: 445. Middle half: 181 to 884.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 387 in 2021 to 1,587 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
546 N Jefferson Ln
Spokane, WA 992017104
NPPES lists 3 distinct additional practice-address records in Spokane, WA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Providence Health And Services Washington. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2018
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
353 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $149,265 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $111,587 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
18,939 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$923,004 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $86.61 across 5 records.
By nature of payment
- Food and Beverage: $86.61 across 5 records.
Reporting-company totals (3 largest of 5)
- Eli Lilly and Company: $19.88 across 1 record.
- Salix Pharmaceuticals, a division of Bausch Health US, LLC: $19.13 across 1 record.
- Sumitomo Pharma America, Inc.: $19.10 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Kunkel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Kunkel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Spokane and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Internal Medicine in Spokane, WA (2024, 148 clinicians with data). Median for this group: 490. Middle half: 209 to 712.
More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: 445. Middle half: 181 to 884.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Internal Medicine in Spokane, WA (2024, 148 clinicians with data). Median for this group: $45,468. Middle half: $25,707 to $71,506.
A higher Medicare-allowed amount than 90% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $44,391. Middle half: $19,546 to $81,175.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Internal Medicine in Spokane, WA (2024, 148 clinicians with data). Median for this group: $35,059. Middle half: $19,791 to $55,694.
A higher Medicare payment amount than 90% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $34,352. Middle half: $14,821 to $61,951.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Internal Medicine in Spokane, WA (2024, 133 clinicians with data). Median for this group: 266. Middle half: 57 to 2,350.
More Part D prescriptions than 90% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: 834. Middle half: 101 to 3,989.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Internal Medicine in Spokane, WA (2024, 133 clinicians with data). Median for this group: $23,672. Middle half: $1,517 to $187,621.
A higher Part D drug cost than 95% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: $61,689. Middle half: $2,998 to $293,737.
230 active clinicians are listed under Internal Medicine with a practice address in Spokane, WA (3,081 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
17% of these 230 clinicians have the CMS telehealth indicator.
68.3% of these 230 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 310% from 387 in 2021 to 1,587 in 2024.
- 2021: 387
- 2022: 849
- 2023: 1,415
- 2024: 1,587
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Medicare-allowed amount
Medicare-allowed amount increased 224% from $46,025 in 2021 to $149,265 in 2024.
- 2021: $46,025
- 2022: $94,451
- 2023: $154,431
- 2024: $149,265
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Paid by Medicare
Paid by Medicare increased 203% from $36,880 in 2021 to $111,587 in 2024.
- 2021: $36,880
- 2022: $68,344
- 2023: $119,475
- 2024: $111,587
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 984% from 712 in 2020 to 7,721 in 2024.
- 2020: 712
- 2021: 674
- 2022: 3,040
- 2023: 5,205
- 2024: 7,721
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30-day fills
30-day fills increased 1720% from 1,041 in 2020 to 18,939 in 2024.
- 2020: 1,041
- 2021: 1,211
- 2022: 7,254
- 2023: 12,483
- 2024: 18,939
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Part D drug cost
Part D drug cost increased 1078% from $78,360 in 2020 to $923,004 in 2024.
- 2020: $78,360
- 2021: $26,426
- 2022: $237,945
- 2023: $532,835
- 2024: $923,004
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $36.12 in 2021 to $86.61 in 2025.
- 2021: $36.12
- 2022: $32.97
- 2023: $58.81
- 2024: $16.11
- 2025: $86.61
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $86.61.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $19.88 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
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XIFAXAN | General | $19.13 |
| Sumitomo Pharma America, Inc. |
Food and Beverage
In-kind items and services
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GEMTESA | General | $19.10 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $14.73 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
KYPHON EXPRESS II KYPHOPAK TRAY | General | $13.77 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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634 | 323 | $391.00 | $126.50 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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311 | 188 | $46.00 | $16.19 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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254 | 254 | $395.00 | $128.75 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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86 | 71 | $276.00 | $90.10 |
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83036
Hemoglobin a1c level
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65 | 47 | $32.00 | $9.52 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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60 | 50 | $546.00 | $174.22 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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34 | 33 | $45.00 | $14.24 |
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G0008
Administration of influenza virus vaccine
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30 | 30 | $38.00 | $32.37 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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29 | 20 | $72.00 | $23.58 |
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90656
Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage
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28 | 28 | $34.00 | $21.90 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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20 | 20 | $482.00 | $289.78 |
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G0009
Administration of pneumococcal vaccine
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20 | 20 | $48.00 | $32.37 |
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99495
Transitional care management services for problem of at least moderate complexity
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16 | 16 | $624.00 | $206.92 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 715 | 57,884 | $8,760.23 | 204 |
| Lisinopril | Lisinopril | 396 | 31,556 | $3,260.14 | 115 |
| Losartan Potassium | Losartan Potassium | 388 | 32,698 | $4,173.92 | 122 |
| Amlodipine Besylate | Amlodipine Besylate | 350 | 28,788 | $3,005.26 | 102 |
| Levothyroxine Sodium | Levothyroxine Sodium | 345 | 27,670 | $4,018.37 | 92 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 296 | 25,957 | $5,787.84 | 90 |
| Omeprazole | Omeprazole | 272 | 21,504 | $5,188.98 | 92 |
| Hydrochlorothiazide | Hydrochlorothiazide | 221 | 18,940 | $1,294.62 | 68 |
| Tamsulosin Hcl | Tamsulosin Hcl | 202 | 15,043 | $4,534.30 | 60 |
| Duloxetine Hcl | Duloxetine Hcl | 186 | 14,817 | $6,580.13 | 67 |
| Metformin Hcl Er | Metformin Hcl | 184 | 13,741 | $2,936.62 | 51 |
| Metoprolol Succinate | Metoprolol Succinate | 175 | 14,012 | $2,394.18 | 55 |
| Sertraline Hcl | Sertraline Hcl | 161 | 11,806 | $3,248.93 | 46 |
| Ozempic | Semaglutide | 153 | 6,668 | $213,316.26 | 38 |
| Metformin Hcl | Metformin Hcl | 152 | 13,302 | $1,571.95 | 47 |
| Gabapentin | Gabapentin | 151 | 10,406 | $3,188.04 | 46 |
| Trazodone Hcl | Trazodone Hcl | 137 | 9,516 | $1,430.65 | 38 |
| Potassium Chloride | Potassium Chloride | 132 | 8,287 | $2,002.46 | 41 |
| Pantoprazole Sodium | Pantoprazole Sodium | 106 | 8,420 | $1,742.91 | 34 |
| Pravastatin Sodium | Pravastatin Sodium | 97 | 8,219 | $1,369.60 | 30 |
| Eliquis | Apixaban | 93 | 5,669 | $108,954.53 | 26 |
| Simvastatin | Simvastatin | 91 | 8,115 | $851.59 | 28 |
| Alendronate Sodium | Alendronate Sodium | 82 | 6,403 | $1,016.61 | 26 |
| Escitalopram Oxalate | Escitalopram Oxalate | 82 | 6,147 | $1,135.08 | 23 |
| Famotidine | Famotidine | 82 | 6,348 | $2,127.07 | 27 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-10-19NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 390200000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20210702000926
WA
2163823717
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Providence Health And Services Washington
546 N Jefferson Ln, Spokane, WA 992017104
Phone: 5096240111
Secondary Practice Locations
624 E Front Ave
Spokane, WA 992022139
Phone: 5093981008
5633 N Lidgerwood St
Spokane, WA 992081224
Phone: 5094820111
101 W 8th Ave
Spokane, WA 992042307
Phone: 5094743131
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Psychiatric/Mental Health
Advanced Registered Nurse Practitioner
Internal Medicine - Interventional Cardiology
MDPHD
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Student in an Organized Health Care Education/Training Program
Registered at 546 N JEFFERSON LN, SPOKANE, WA 992017104 (Tel: 5096240111)
Registered at 546 N JEFFERSON LN, SPOKANE, WA 992017104 (Tel: 5096240111)
Internal Medicine (license number reported to NPPES: WA OP61145526)
NPI status registered as active in NPPES database
Registered at 624 E FRONT AVE, SPOKANE, WA 992022139 (Tel: 5093981008)
Registered at 624 E FRONT AVE, SPOKANE, WA 992022139 (Tel: 5093981008)
Recorded as PATRICK KUNKEL, DO
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Spokane
- Rowena Inocencio
- Dr. Richard Deppisch, DO
- Dr. Rachel Safran, MD
- Dr. Michael Wukelic, MD
- Elizabeth Locascio
- Dr. Seth Dotson, MD
Mailing Address
546 N Jefferson Ln
Spokane, WA 992017104
Phone: 5096240111