NPI 1962582817 · live from the CMS NPI Registry
Jeanie Hee-Kyung Chung, M.D., PhD
Dermatology in Salida, CO. National Provider Identifier 1962582817, active.
NPI record
| NPI | 1962582817 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 925 Rush Dr, Salida, CO 81201 |
| Practice phone | 719-539-4600 |
| Mailing address | 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 |
| Enumerated | October 16, 2006 |
| Last updated | February 23, 2023 |
| Sole proprietor | No |
| Other names | Hee Kyung Leddon |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 38765 (CO) |
| Dermatology primary | 207N00000X | CDRH.0038765 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.