Provider Demographics
NPI:1285298596
Name:FUNG, CATHAY CHUNHONG (MD, LAC)
Entity type:Individual
Prefix:DR
First Name:CATHAY
Middle Name:CHUNHONG
Last Name:FUNG
Suffix:
Gender:F
Credentials:MD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 SUMMIT ST STE 116
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2109
Mailing Address - Country:US
Mailing Address - Phone:816-842-6868
Mailing Address - Fax:
Practice Address - Street 1:1810 SUMMIT ST STE 116
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2109
Practice Address - Country:US
Practice Address - Phone:816-842-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005026462171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist