Individual
KONG CHENG XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4411 E. CESAR CHAVEZ BLVD, FRESNO, CA 93702
(559) 453-1008
Mailing address
4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702-3604
(559) 538-1735
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95124143
CA
Other
Enumeration date
03/28/2017
Last updated
03/18/2026
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