Individual
KYONG CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3420 PUMP RD # 179, RICHMOND, VA 23233-1111
(540) 903-1549
Mailing address
3420 PUMP RD # 179, RICHMOND, VA 23233-1111
(540) 903-1549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101243531
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00685254
RR MEDICARE
VA
Enumeration date
05/17/2007
Last updated
06/25/2014
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