Individual
KIM KHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2509 BRENTMOOR CT, SUWANEE, GA 30024-2990
(714) 312-9908
Mailing address
2509 BRENTMOOR CT, SUWANEE, GA 30024-2990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016811
GA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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