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Contact Information

ROBERT C KWUN, MD
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT84107-6771
 Phone: 801-281-3030
 Fax: 801-281-3033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for ROBERT C KWUN · (Male)

NPI Number 1457338162
Status Active
Credentials MD
Entity Individual
Enumeration date 12/23/2005
Last updated 02/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 3082804-1205
  • ID Medicaid 805762700
  • WY Medicaid 115013800
  • Other 180040257 RAILROAD MEDICARE
  • Other 870525682 TAX ID #
Hospital affiliation(s)
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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