Choi, Kenneth Kieun

Choi, Kenneth Kieun is an individual health care provider with primary practice located at 2260 W Orange Grove Rd , Tucson AZ 85741-3117. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Choi, Kenneth Kieun can be contacted via phone (520) 795-5830.

Contact Information

Primary practice address
2260 W Orange Grove Rd Tucson AZ 85741-3117
Phone: (520) 795-5830
Fax: (520) 885-4469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 27206 Arizona
Allopathic & Osteopathic Physicians / Urology 208800000X 27206 Arizona

Profile Details

NPI number 1255333589
LBN Legal business name Choi, Kenneth Kieun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 2nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255333589 NPPES
Arizona MEDICAID 472150

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