Provider Demographics
NPI:1437137700
Name:KUNG, ANN STEMBRIDGE (MS)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:STEMBRIDGE
Last Name:KUNG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 W MACARTHUR BLVD
Mailing Address - Street 2:KAISER OAKLAND/GENETICS DEPT
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5641
Mailing Address - Country:US
Mailing Address - Phone:510-752-6303
Mailing Address - Fax:510-752-6754
Practice Address - Street 1:275 W MACARTHUR BLVD
Practice Address - Street 2:KAISER OAKLAND/GENETICS DEPT
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5641
Practice Address - Country:US
Practice Address - Phone:510-752-6303
Practice Address - Fax:510-752-6754
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA170300000XOtherTAXONOMY CODE