Individual
DR. KENNETH CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14451 ORCHARD PKWY, WESTMINSTER, CO 80023-9174
(303) 451-0598
(303) 451-0626
Mailing address
14770 ORCHARD PKWY, UNIT 108, WESTMINSTER, CO 80023-9127
(626) 607-7500
(303) 451-0626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14542TLG
CA
152W00000X
Optometrist
1976
AZ
152W00000X
Optometrist
Primary
2907
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042856
—
CO
Enumeration date
08/01/2011
Last updated
11/20/2016
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