Provider Demographics
NPI:1669026977
Name:CHUN, SYDNEE MI KYUNG (CNA)
Entity Type:Individual
Prefix:
First Name:SYDNEE
Middle Name:MI KYUNG
Last Name:CHUN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3513 WOLFE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-9321
Mailing Address - Country:US
Mailing Address - Phone:501-213-9331
Mailing Address - Fax:
Practice Address - Street 1:22 OAK FOREST PL
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6817
Practice Address - Country:US
Practice Address - Phone:501-414-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR000069578E376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARAR000069578EOtherSCHMIEDING HOMECARE TRAINING