Healthcare Provider Details

I. General information

NPI: 1942195417
Provider Name (Legal Business Name): TUNGKANG KUON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 HIDCOTE DR
LINCOLN NE
68516-5568
US

IV. Provider business mailing address

1808 NW FAESY PL
LINCOLN NE
68528-1939
US

V. Phone/Fax

Practice location:
  • Phone: 402-205-4966
  • Fax:
Mailing address:
  • Phone: 402-507-0791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: