Kung, Theodore Alexander

Kung, Theodore Alexander is an individual health care provider with primary practice located at 24 Frank Lloyd Wright Dr Lobby A, Ann Arbor MI 48105-9484. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Kung, Theodore Alexander can be contacted via phone (734) 998-6022.

Contact Information

Primary practice address
24 Frank Lloyd Wright Dr Lobby A Ann Arbor MI 48105-9484
Phone: (734) 998-6022
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD60545604 Washington
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 4301092228 Michigan

Profile Details

NPI number 1265695985
LBN Legal business name Kung, Theodore Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Aug 29th, 2016 - about 10 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 1265695985 NPPES
Washington MEDICAID 1265695985

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