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Individual

KEVEN ROBERT CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 RANKIN DR, MARION, NC 28752-4989
(828) 659-5000
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22221
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8922496
NC
Enumeration date
06/07/2006
Last updated
07/23/2007
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