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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447256201 NPPES
Florida MEDICAID 006556600

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