Individual provider · Type 1 NPI

Kristian James Kunicky, PA-C

Physician Assistant · Nottingham, MD

NPI number 1528096237 Active

Practice location

4924 Campbell Blvd, Suite 130
Nottingham, MD 21236-5908

Call (443) 442-2080 Map

Fax (443) 442-2089

Mailing address

6201 Greenleigh Ave
Baltimore, MD 21220-2004

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00101100 (NJ)
Physician Assistant Primary 363A00000XC00003786 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1528096237

Kristian James Kunicky, PA-C's National Provider Identifier is 1528096237, issued on Jun 29, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nottingham, MD. The record was last updated on Aug 15, 2025.