Individual
KEVIN E CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1132 E NORTH BLVD, LEESBURG, FL 34748-5350
(352) 365-6650
(352) 365-0932
Mailing address
1132 E NORTH BLVD, LEESBURG, FL 34748-5350
(352) 365-6650
(352) 365-0932
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0064096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006556600
—
FL
Enumeration date
06/24/2005
Last updated
10/17/2012
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