| Doctor Name: | MR. KUN LI |
| NPI Number: | 1982756011 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | OA002142 |
| Business Practice Address: | 4015 Chichester Ave Boothwyn, PA - 190613138 |
| Business Phone Number: | 6104944422 |
| Business Fax Number: | |
| Mailing Address: | 4447 Ernie Davis Cir, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191541752 |
| Phone Number: | 2158244290 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 12/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | OA002142 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |