Individual
JAEWON KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2000
Mailing address
128 GLENDALE RD, EXTON, PA 19341-1546
(267) 326-3625
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN788392
PA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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