Provider Demographics
NPI:1073559266
Name:CHEUNG, ARTHUR KENNEDY (CRNA)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:KENNEDY
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:AL
Mailing Address - Zip Code:35447-2134
Mailing Address - Country:US
Mailing Address - Phone:205-367-2250
Mailing Address - Fax:
Practice Address - Street 1:8000 AL HIGHWAY 69
Practice Address - Street 2:MARSHALL MEDICAL CENTER - NORTH
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-7140
Practice Address - Country:US
Practice Address - Phone:256-571-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2043367500000X
GARN100586367500000X
AL1-037235367500000X
TX591252367500000X
SC2243367500000X
MSR794659367500000X
OKR57183367500000X
NC114933367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-24936OtherBCBS OF AL PIN
AL051524936CHEMedicare PIN
AL515-24936OtherBCBS OF AL PIN