Individual
JEROME KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 E CAMPUS VIEW BLVD STE 180, COLUMBUS, OH 43235
(614) 840-1688
Mailing address
355 E CAMPUS VIEW BLVD STE 180, COLUMBUS, OH 43235-5680
(614) 840-1688
(614) 840-1689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35080929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00065557
RAILROAD MEDICARE PIN
OH
Enumeration date
05/26/2006
Last updated
12/26/2018
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