Provider Demographics
NPI:1033127519
Name:PUN, KIN-KEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIN-KEE
Middle Name:
Last Name:PUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 STOCKTON ST
Mailing Address - Street 2:SUITE 375
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108
Mailing Address - Country:US
Mailing Address - Phone:415-421-8999
Mailing Address - Fax:415-421-5578
Practice Address - Street 1:950 STOCKTON ST
Practice Address - Street 2:SUITE 375
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108
Practice Address - Country:US
Practice Address - Phone:415-421-8999
Practice Address - Fax:415-421-5578
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50479207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A504792Medicaid
CA00A504791OtherBLUE SHIELD
CA00A504791Medicare ID - Type Unspecified
CA00A504791OtherBLUE SHIELD