Provider Demographics
NPI:1043390727
Name:MUN, KYU CHEOL (DC)
Entity Type:Individual
Prefix:
First Name:KYU CHEOL
Middle Name:
Last Name:MUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:MARTIN
Other - Middle Name:
Other - Last Name:MUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:8014 STATE LINE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66208
Mailing Address - Country:US
Mailing Address - Phone:913-341-1930
Mailing Address - Fax:913-341-1960
Practice Address - Street 1:8014 STATE LINE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66208
Practice Address - Country:US
Practice Address - Phone:913-341-1930
Practice Address - Fax:913-341-1960
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10-04929111N00000X
MO2004092660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO35118011OtherBLUE CROSS BLUE SHIELD
KS5598644OtherFIRST HEALTH
KS5598644OtherFIRST HEALTH