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NPI Code Detail

MEDICARE: KUN SAVILLE

MEDICARE:   KUN  SAVILLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant51508CA

General Provider Information

NPI Number : 1518377894
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUN SAVILLE
Provider Business Mailing Address
First Line : 31581 CANYON ESTATES DR
Second Line :
City : LAKE ELSINORE
State : CA
Zip : 92532-0424
Country : US
Telephone Number : 951-244-3500
Fax Number : 951-344-3535
Provider Business Practice Location Address
First Line : 31581 CANYON ESTATES DR
Second Line :
City : LAKE ELSINORE
State : CA
Zip : 92532-0424
Country : US
Telephone Number : 951-244-3500
Fax Number : 951-344-3535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2014
Last Update Date : 05/27/2015

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Directions to “ KUN SAVILLE ” Practice Location

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