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Individual
DR. KIN CHING KONG
Active
Individual
DR. KIN CHING KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
IL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635389
BLUE CROSS PROVIDER ID
IL
01
—
7203712
AETNA PROVIDER ID
IL
Enumeration date
09/29/2006
Last updated
09/11/2025
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