Individual
KIN K WUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 WASHINGTON AVE, CHESTERTOWN, MD 21620-1434
(410) 778-3798
(410) 778-3192
Mailing address
415 WASHINGTON AVE, CHESTERTOWN, MD 21620-1434
(410) 778-3798
(410) 778-3192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D21313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185341400
—
MD
01
—
E561-0001
BLUE CROSS FEDERAL
MD
Enumeration date
03/02/2006
Last updated
12/07/2007
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