Provider Demographics
NPI:1942195417
Name:KUON, TUNGKANG
Entity type:Individual
Prefix:
First Name:TUNGKANG
Middle Name:
Last Name:KUON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 NW FAESY PL
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68528-1939
Mailing Address - Country:US
Mailing Address - Phone:402-507-0791
Mailing Address - Fax:
Practice Address - Street 1:5801 HIDCOTE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5568
Practice Address - Country:US
Practice Address - Phone:402-205-4966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care