Individual
KIMBERLY SUI FAN FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
722416
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
95009060
CA
Other
Enumeration date
06/14/2017
Last updated
05/23/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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