Provider Demographics
NPI:1265814438
Name:KUO, PEI JUNG (L AC)
Entity Type:Individual
Prefix:
First Name:PEI JUNG
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9393 N 90TH ST
Mailing Address - Street 2:SUITE #118
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5040
Mailing Address - Country:US
Mailing Address - Phone:480-588-6707
Mailing Address - Fax:
Practice Address - Street 1:9393 N 90TH ST
Practice Address - Street 2:SUITE #118
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5040
Practice Address - Country:US
Practice Address - Phone:480-588-6707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0635171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist