Active NPI
Kali Aleece Pung
- Specialist
- Alma, MI
National Provider Identifier
1295064673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 5475 Blue Heron Dr
Alma, MI 48801-9590 - Phone
- (989) 463-3940
- Fax
- (989) 463-1687
- NPI assigned
- Dec 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
5475 Blue Heron Dr
Alma, MI 48801-9590
Mailing address
5475 Blue Heron Dr
Alma, MI 48801-9590
Phone (989) 463-3940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1295064673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5475 BLUE HERON DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488019590",
"telephone_number": "989-463-3940",
"fax_number": "989-463-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 BLUE HERON DR",
"city": "ALMA",
"state": "MI",
"postal_code": "488019590",
"telephone_number": "989-463-3940",
"fax_number": "989-463-1687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUNG",
"first_name": "KALI",
"middle_name": "ALEECE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-15",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.