Individual
MISS KIMBERLY Y GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MS
Contact information
Practice address
25 N 1ST AVE, KENVIL, NJ 07847-2500
(973) 229-7137
Mailing address
1000 CONWAY DR APT 202, WILLIAMSBURG, VA 23185-3840
(973) 229-7137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
12/29/2020
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