Individual
MS. YUAN YUAN GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3991 DUTCHMANS LN STE 303, LOUISVILLE, KY 40207-4723
(502) 559-1750
(502) 666-7707
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
12506782
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
56099
KY
Other
Enumeration date
06/16/2015
Last updated
03/24/2025
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