MEDICARE: MR. ARTHUR KENNEDY CHEUNG CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	2043	CA
2	367500000X	Certified Registered Nurse Anesthetist	RN100586	GA
3	367500000X	Certified Registered Nurse Anesthetist	1-037235	AL
4	367500000X	Certified Registered Nurse Anesthetist	591252	TX
5	367500000X	Certified Registered Nurse Anesthetist	2243	SC
6	367500000X	Certified Registered Nurse Anesthetist	R794659	MS
7	367500000X	Certified Registered Nurse Anesthetist	R57183	OK
8	367500000X	Certified Registered Nurse Anesthetist	114933	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	515-24936	OTHER	AL	BCBS OF AL PIN

General Provider Information

NPI Number	:	1073559266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARTHUR KENNEDY CHEUNG CRNA

Provider Business Mailing Address
First Line	:	271 OAK ST
Second Line	:
City	:	CARROLLTON
State	:	AL
Zip	:	35447-2134
Country	:	US
Telephone Number	:	205-367-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 AL HIGHWAY 69
Second Line	:	MARSHALL MEDICAL CENTER - NORTH
City	:	GUNTERSVILLE
State	:	AL
Zip	:	35976-7140
Country	:	US
Telephone Number	:	256-571-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	01/09/2013

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Directions to “ MR. ARTHUR KENNEDY CHEUNG CRNA” Practice Location

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