Individual
AUGUSTINE K KABONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-7882
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-7882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00000
IA
207R00000X
Internal Medicine Physician
036135047
IL
207R00000X
Internal Medicine Physician
Primary
40864
IA
Other
Enumeration date
04/02/2013
Last updated
08/16/2024
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