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NPI Code Detail

MEDICARE: KENNETH UNG

MEDICARE: KENNETH UNG
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
1207Q00000XFamily Medicine PhysicianMD024031EPA

General Provider Information

NPI Number : 1265488241
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH UNG
Provider Business Mailing Address
First Line : 600 WATERCREST WAY
Second Line : SUITE 630
City : CHESWICK
State : PA
Zip : 15024-1370
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1748 JANCEY ST
Second Line : SUITE 100, RIDC OFFICE
City : PITTSBURGH
State : PA
Zip : 15206-1100
Country : US
Telephone Number : 412-661-1993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 03/25/2021

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Directions to “ KENNETH UNG ” Practice Location

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