Basic Information
Provider Information
NPI: 1841488921
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHOI
FirstName: SUNYUN
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: APRN,BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 331 SE WOOD LN
Address2:  
City: LEES SUMMIT
State: MO
PostalCode: 640634509
CountryCode: US
TelephoneNumber: 8164345274
FaxNumber:  
Practice Location
Address1: 4801 E LINWOOD BLVD
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641282226
CountryCode: US
TelephoneNumber: 8168614700
FaxNumber: 8169223353
Other Information
ProviderEnumerationDate: 10/14/2007
LastUpdateDate: 10/26/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X2008005964OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LA2200X2007004548-21OHN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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