Individual
MRS. KIMBERLY NICOLE CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8321 N TULLIS AVE APT 635, KANSAS CITY, MO 64158-7659
(310) 903-7803
Mailing address
8321 N TULLIS AVE APT 635, KANSAS CITY, MO 64158-7659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2017037045
MO
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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