Individual
DR. GRACE JOANNE KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BLALOCK 1410, BALTIMORE, MD 21287-4963
(410) 955-7609
Mailing address
600 N WOLFE ST, BLALOCK 1410, BALTIMORE, MD 21287-4963
(410) 955-7609
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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