Individual
DR. DEREK KAI KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 CORPORATE DR STE 2-8, TRUMBULL, CT 06611-1351
(203) 452-7081
Mailing address
15 CORPORATE DR STE 2-8, TRUMBULL, CT 06611-1351
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
71215
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
07/22/2022
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