Provider Demographics
NPI:1922290162
Name:CHEW, KUNNEE (LMT)
Entity Type:Individual
Prefix:
First Name:KUNNEE
Middle Name:
Last Name:CHEW
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 HIDDEN COVE DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-7120
Mailing Address - Country:US
Mailing Address - Phone:954-608-3017
Mailing Address - Fax:
Practice Address - Street 1:4921 SHERIDAN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-2823
Practice Address - Country:US
Practice Address - Phone:954-608-3017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 37050174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist