Individual
HONGKUI JING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01073969A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000874542
ANTHEM PROVIDER NUMBER
IN
05
—
201222620
—
IN
Enumeration date
05/07/2008
Last updated
03/18/2021
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