Individual provider · Type 1 NPI

Jacky Kim Chun, PA-C

Medical Physician Assistant · Rockville, MD

NPI number 1164140109 Active

Practice location

15001 Shady Grove Rd Ste 300
Rockville, MD 20850-6353

Call (301) 340-3252 Map

Fax (301) 340-1423

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0008525 (MD)

Medical Physician Assistant: Definition to come...

15 other providers at this address

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About NPI 1164140109

Jacky Kim Chun, PA-C's National Provider Identifier is 1164140109, issued on Aug 16, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rockville, MD. The record was last updated on Aug 22, 2025.