Individual
MR. CHANKUN KENNETH CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 TIFFANY DRIVE, SCRANTON, PA 18505-2311
(570) 344-9638
(570) 344-9638
Mailing address
4 TIFFANY DRIVE, SCRANTON, PA 18505-2311
(570) 344-9638
(570) 344-9638
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD035109L
PA
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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