Individual
DR. BOBBY KIPAK KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5325 ELLIOTT DR, SUITE # 102, YPSILANTI, MI 48197-8633
(734) 712-5500
(734) 712-8209
Mailing address
5325 ELLIOTT DR, SUITE # 102, YPSILANTI, MI 48197-8633
(734) 712-5500
(734) 712-8209
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
BK057809
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4826911
—
MI
Enumeration date
06/23/2006
Last updated
04/16/2021
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