Chung, Ki Young

Chung, Ki Young is an individual health care provider with primary practice located at 120 Dillon Dr , Spartanburg SC 29307-1018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Chung, Ki Young can be contacted via phone (864) 699-5700.

Contact Information

Primary practice address
120 Dillon Dr Spartanburg SC 29307-1018
Phone: (864) 699-5700
Fax: (864) 699-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 33366 South Carolina

Profile Details

NPI number 1336110113
LBN Legal business name Chung, Ki Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 31st, 2018 - about 8 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 1336110113 NPPES
South Carolina MEDICAID 333669
South Carolina MEDICAID 1336110113

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