Chun, Kyle Frederick

Chun, Kyle Frederick is an individual health care provider with primary practice located at 1223 Willow Creek Rd , Prescott AZ 86301-1427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Chun, Kyle Frederick can be contacted via phone (928) 777-9950.

Contact Information

Primary practice address
1223 Willow Creek Rd Prescott AZ 86301-1427
Phone: (928) 777-9950
Fax: (928) 777-9975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 366070 Hawaii
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 66316 Arizona

Profile Details

NPI number 1558527408
LBN Legal business name Chun, Kyle Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2008
Last updated Dec 16th, 2022 - about 3 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 1558527408 NPPES
Kentucky MEDICAID 159951

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