Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Carolyn Fenwick Kundert, PA

Individual provider Physician Assistant · NPI 1700328267

Mrs. Carolyn Fenwick Kundert, PA is a Physician Assistant in Columbia, Missouri. Qualified in 2016, 10 years ago. Practices with Animo Sano Psychiatry PLLC, a 47-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Hospital Dr
Columbia, MO 65212-1000
Phone: (573) 884-4400
Fax: (573) 884-5994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1600 E Broadway, Columbia, MO 65201-5844 — (573) 815-8000
  • 1600 E Broadway, Columbia, MO 65201-5844 — (573) 815-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2017004720 (MO)

Record details

NPI number1700328267
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2016
Last updated in NPPESSeptember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Animo Sano Psychiatry Pllc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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