Individual
SHIRLEY KUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(303) 202-1280
(303) 202-1281
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(303) 202-1280
(303) 202-1281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
45656
CO
207P00000X
Emergency Medicine Physician
L9298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168664401
—
TX
05
—
168664402
—
TX
05
—
168664403
—
TX
05
—
75581710
—
CO
01
—
8G6287
BCBSTX PROV NO
TX
01
—
P00157178
RAILROAD MEDICARE PROV NO
TX
01
—
P00205531
RAILROAD MEDICARE PROV NO
TX
01
—
P00464087
RAILROAD MEDICARE
CO
Enumeration date
12/16/2005
Last updated
12/23/2015
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