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NPI Code Detail

MEDICARE: DR. CATHAY CHUNHONG FUNG MD, LAC

MEDICARE:  DR. CATHAY CHUNHONG FUNG  MD, LAC
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
1171100000XAcupuncturist2005026462MO

General Provider Information

NPI Number : 1285298596
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHAY CHUNHONG FUNG MD, LAC
Provider Business Mailing Address
First Line : 1810 SUMMIT ST STE 116
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2109
Country : US
Telephone Number : 816-842-6868
Fax Number :
Provider Business Practice Location Address
First Line : 1810 SUMMIT ST STE 116
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-2109
Country : US
Telephone Number : 816-842-6868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2019
Last Update Date : 06/11/2019

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Directions to “ DR. CATHAY CHUNHONG FUNG MD, LAC” Practice Location

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