Chung, Kirk P

Chung, Kirk P is an individual health care provider with primary practice located at 5350 Lamme Rd , Dayton OH 45439-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Chung, Kirk P can be contacted via phone (937) 534-4632.

Contact Information

Primary practice address
5350 Lamme Rd Dayton OH 45439-3215
Phone: (937) 534-4632
Fax: (937) 534-4609
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35-087178 Ohio

Profile Details

NPI number 1770512105
LBN Legal business name Chung, Kirk P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1770512105 NPPES
Ohio MEDICAID 2630577
Ohio Other 000000391335

Popular Providers