Individual
BRIAN KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 REID PKWY STE 215, RICHMOND, IN 47374-1157
(765) 939-9331
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-5331
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
02007117A
IN
Other
Enumeration date
07/01/2016
Last updated
07/18/2023
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