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NPI Code Detail

MEDICARE: SHIRLEY KUNG M.D.

MEDICARE:   SHIRLEY  KUNG  M.D.
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
1207P00000XEmergency Medicine PhysicianL9298TX
2207P00000XEmergency Medicine Physician45656CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00464087OTHERCORAILROAD MEDICARE
6P00157178OTHERTXRAILROAD MEDICARE PROV NO
7P00205531OTHERTXRAILROAD MEDICARE PROV NO

Other Identifiers

General Provider Information

NPI Number : 1942286349
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY KUNG M.D.
Provider Business Mailing Address
First Line : PO BOX 5788
Second Line :
City : DENVER
State : CO
Zip : 80217-5788
Country : US
Telephone Number : 303-202-1280
Fax Number : 303-202-1281
Provider Business Practice Location Address
First Line : 11600 W 2ND PL
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1527
Country : US
Telephone Number : 303-202-1280
Fax Number : 303-202-1281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 12/23/2015

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Directions to “ SHIRLEY KUNG M.D.” Practice Location

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