Individual
DR. KING FUNG KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5300
(410) 328-2109
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4742
(410) 328-5300
(410) 328-2109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0057653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067
CAREFIRST REGIONAL
MD
01
—
1701252
UNITED HLTHCARE
MD
01
—
2095522
UNITED HLTHCARE NATIONAL
MD
01
—
216524
KAISER
MD
01
—
292791
MDIPA
MD
01
—
61160501
BLUE SHIELD
MD
01
—
80033
GEISINGER
MD
Enumeration date
07/27/2006
Last updated
07/08/2007
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