Individual
DR. PETER KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 9TH AVE STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
(360) 423-6862
Mailing address
625 9TH AVE STE 210, LONGVIEW, WA 98632-2465
(360) 501-3400
(360) 423-6862
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A91539
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD60091872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249916
DEPT OF LABOR & INDUSTRIES
WA
01
—
500608782
MEDICAID
OR
05
—
8546244
—
WA
Enumeration date
03/08/2007
Last updated
07/14/2010
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