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Individual
DR. KEITH CHUNG
Active
Individual
DR. KEITH CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
183500000X
Pharmacist
Primary
RPH50486
CA
Other
Enumeration date
03/20/2019
Last updated
06/03/2023
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