Individual
DR. JAMES HO-MING KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-2913
(952) 993-3150
(952) 993-3611
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 993-3611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
52479
MN
2086S0102X
Surgical Critical Care Physician
52479
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
52479
MN
2086S0122X
Plastic and Reconstructive Surgery Physician
65902
WI
Other
Enumeration date
02/06/2008
Last updated
07/02/2021
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