Provider Demographics
NPI:1548937600
Name:SHUM, KAI ZHUANG (PHD)
Entity type:Individual
Prefix:DR
First Name:KAI ZHUANG
Middle Name:
Last Name:SHUM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8103 CORNELL LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-3342
Mailing Address - Country:US
Mailing Address - Phone:813-466-0510
Mailing Address - Fax:
Practice Address - Street 1:1122 VOLUNTEER BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37996-1363
Practice Address - Country:US
Practice Address - Phone:813-466-0510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11224103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist