Individual
JAMES KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 206-1060
(513) 206-1062
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 206-1060
(513) 206-1062
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35086285
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.086285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000036445
ANTHEM
—
01
—
2504611
UNITED
—
05
—
2581353
—
OH
01
—
28010673200
WORKMANS COMP
—
05
—
64104912
—
KY
01
—
7625646
AETNA
—
Enumeration date
03/02/2006
Last updated
10/24/2020
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