Keven Robert Chung, M.D.
Individual provider Active NPI Emergency Medicine Physician · Marion, NC
NPI 1124068226 · NPPES record last updated Jul 23, 2007
Key facts
- NPI
- 1124068226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 22221 (NC)
- Practice address
- 100 Rankin Dr
Marion, NC 28752-4989 - Phone
- (828) 659-5000
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22221 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| McDowell Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 22221 | NC | Yes |
Addresses
Primary practice location
100 Rankin Dr
Marion, NC 28752-4989
Mailing address
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8922496 | Medicaid | NC |
Other providers in Marion, NC
- Jessica Chapman
- Rachael Marie Chipley Stewart
- Jud B Christensen
- Alison Brook Christopher
- Joseph Y Chung
- Linda Marie Church
- Jamie Clark
- Clear Sky Behavioral LLC
- Denise Marie Clifton
- CNC / Access Inc.
All providers in Marion, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.