Individual
MR. GORDON T. DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
73-5590 KAUHOLA ST STE A, KAILUA KONA, HI 96740
(808) 329-7744
(808) 334-1608
Mailing address
73-5590 KAUHOLA ST STE A, KAILUA KONA, HI 96740-2610
(808) 329-7744
(808) 334-1608
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1377
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0053908
HMSA BC BS
HI
01
—
00A053908
HMSA QUEST
HI
01
—
217706
HMA SUMMERLIN LIFE
HI
05
—
244903-01
—
HI
05
—
244903-02
—
HI
01
—
A002
TRICARE
HI
Enumeration date
01/11/2007
Last updated
01/24/2025
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