# DR. LI SHENG KONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891764775
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 0101238893 | VA | — |
| 2086S0129X | Vascular Surgery Physician | A99886 | CA | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 11/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010242424 | — | VA |
| 05 | — | 010242452 | — | VI |
| 05 | — | 010242479 | — | VA |
| 05 | — | 010242487 | — | VA |
| 05 | — | 010242517 | — | VA |
| 05 | — | 010251877 | — | VA |
| 05 | — | 010252695 | — | VA |