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Individual

DR. KA KIN FUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 442-7200
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PENDING
TN
208M00000X
Hospitalist Physician
Primary
85621
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PENDING
BLUE CROSS
TN
05
PENDING
TN
Enumeration date
01/02/2008
Last updated
07/01/2021
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