Chung, Jeanie Hee-Kyung

Chung, Jeanie Hee-Kyung is an individual health care provider with primary practice located at 925 Rush Dr , Salida CO 81201-9665. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Chung, Jeanie Hee-Kyung can be contacted via phone (719) 539-4600.

Contact Information

Primary practice address
925 Rush Dr Salida CO 81201-9665
Phone: (719) 539-4600
Fax: (719) 539-4629
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 38765 Colorado
Allopathic & Osteopathic Physicians / Dermatology 207N00000X CDRH.0038765 Colorado

Profile Details

NPI number 1962582817
LBN Legal business name Chung, Jeanie Hee-Kyung
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Feb 23rd, 2023 - about 3 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 1962582817 NPPES
Colorado Other 014977 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 82157227 KAISER COMMERCIAL NUMBER

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