Chun, Kevin E
Chun, Kevin E is an individual health care provider with primary practice located at 1132 E North Blvd , Leesburg FL 34748-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Chun, Kevin E can be contacted via phone (352) 365-6650.Contact Information
Primary practice address
1132 E North Blvd
Leesburg FL 34748-5350
Phone: (352) 365-6650
Fax: (352) 365-0932
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0064096 | Florida |
Profile Details
NPI number | 1447256201 |
---|---|
LBN Legal business name | Chun, Kevin E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2005 |
Last updated | Oct 17th, 2012 - about 13 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 | 1447256201 | NPPES |
Florida | MEDICAID | 006556600 |
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