Choi, Kenneth Kieun
Choi, Kenneth Kieun is an individual health care provider with primary practice located at 2260 W Orange Grove Rd , Tucson AZ 85741-3117. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Choi, Kenneth Kieun can be contacted via phone (520) 795-5830.Contact Information
Primary practice address
2260 W Orange Grove Rd
Tucson AZ 85741-3117
Phone: (520) 795-5830
Fax: (520) 885-4469
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 27206 | Arizona |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 27206 | Arizona |
Profile Details
NPI number | 1255333589 |
---|---|
LBN Legal business name | Choi, Kenneth Kieun |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | May 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255333589 | NPPES |
Arizona | MEDICAID | 472150 |
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