IndividualActive
Kyunghoon Chung, MD
NPI 1821208240 · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician · Phoenix, AZ
Provider details
- NPI number
- 1821208240
- Entity type
- Individual
- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 55134 (AZ)
Specialties & taxonomies
- Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianPrimary2082S0099XLicense 55134 (AZ)
Allopathic & Osteopathic Physicians
Practice location
1441 N 12th St
Phoenix, AZ 85006-2837
Phone: (602) 521-5150
Approximate (ZIP-level) locationGet directions
Mailing address
1441 N 12th St
Phoenix, AZ 85006-2837
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.