Chung, Ki Young

Chung, Ki Young is an individual health care provider with primary practice located at 835 Hospital Road Emergency Department, Indiana PA 15701-0788. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Chung, Ki Young can be contacted via phone (724) 357-7121.

Contact Information

Primary practice address
835 Hospital Road Emergency Department Indiana PA 15701-0788
Fax: (724) 357-7479
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD027915E Pennsylvania

Profile Details

NPI number 1457341711
LBN Legal business name Chung, Ki Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jul 8th, 2007 - about 18 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 1457341711 NPPES
Pennsylvania MEDICAID 0010414650002
Pennsylvania Other 251859

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