Dr. Theodore Alexander Kung
Plastic and Reconstructive Surgery
24 Frank Lloyd Wright Dr Lobby A
Ann Arbor
, Michigan 48105-9484
Dr. Theodore Alexander Kung
Plastic and Reconstructive Surgery
24 Frank Lloyd Wright Dr Lobby A
Ann Arbor
, Michigan 48105-9484
(734) 936-2047
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Theodore Alexander Kung
- 3621 South State Street 700 Kms Place
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 936-2047
Second Address
- Dr. Theodore Alexander Kung
- 24 Frank Lloyd Wright Dr Lobby A
- Ann Arbor, MI
- Zip : 48105-9484
- Phone : (734) 998-6022
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Is Dr. Theodore Alexander Kung a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 4301092228 | MI |
| N | 2086S0122X | Plastic and Reconstructive Surgery | MD60545604 | WA |
National Provider Identifier
| NPI | 1265695985 |
|---|---|
| Provider Name | Dr. Theodore Alexander Kung |
| First Address | Ann Arbor, MI 48108 |
| Second Address | Ann Arbor, MI 48105-9484 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2008 |
| Last Update Date | 29/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1265695985 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.