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Individual

INSU KONG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
31 CRESTVIEW DR, WESTERLY, RI 02891-2901
(401) 596-9939
(401) 596-9637
Mailing address
31 CRESTVIEW DR, WESTERLY, RI 02891-2901
(401) 596-9939
(401) 596-9637

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
10135
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010010135R101
ANTHEM
01
0701186
UHC
01
128554
BCBS
RI
05
9002855
RI
01
OV6530
HEALTHNET
01
P22447
OXFORD
Enumeration date
12/22/2005
Last updated
07/08/2007
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