Individual
DR. KENNY S YUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2726 FULTON DR NW, CANTON, OH 44718-3506
(330) 455-5011
(330) 588-7127
Mailing address
2726 FULTON DR NW, CANTON, OH 44718-3506
(330) 455-5011
(330) 588-7127
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35.084678
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334530
ANTHEM BCBS #
OH
05
—
0975888
—
OH
01
—
2427615
UNITED HEALTHCARE
OH
05
—
2505828
—
OH
01
—
341773267
COMMERCIAL CARRIERS
OH
01
—
34177326700
BWC GROUP #
OH
01
—
341773267F
AULTCARE #
OH
01
—
7573618
AETNA #
OH
01
—
CC9333
RR MEDICARE GROUP #
OH
01
—
P00172857
RR MEDICARE #
OH
Enumeration date
06/16/2005
Last updated
05/12/2020
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