Provider Demographics
NPI:1720004922
Name:CHO, KUN AI (RN)
Entity Type:Individual
Prefix:MRS
First Name:KUN
Middle Name:AI
Last Name:CHO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75TH MEDICAL COMPANY. UNIT#15190, BOX 51
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96271
Mailing Address - Country:US
Mailing Address - Phone:315-753-8359
Mailing Address - Fax:
Practice Address - Street 1:75TH MEDICAL COMPANY
Practice Address - Street 2:UNIT#15190, BOX 51
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96271-0126
Practice Address - Country:US
Practice Address - Phone:315-753-8359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001131457163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency