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Individual

STEVEN MICHAEL KONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC

Contact information

Practice address
1700 W HILLSDALE BLVD BLDG 30A, SAN MATEO, CA 94402-3757
(650) 574-6560
Mailing address
886 N CENTRAL AVE, CAMPBELL, CA 95008-0110
(408) 410-6056

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
080702267

Other

Enumeration date
01/26/2021
Last updated
01/26/2021
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