Individual
MRS. EMILY REBECCA KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3876
Mailing address
431 GREENMOUNT BLVD, OAKWOOD, OH 45419-3231
(937) 626-9543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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