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Individual

KIMBERLEE S FONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9500 EUCLID AVE, CONNECTED CARE/HOSPICE AND PALLIATIVE MEDICINE, CLEVELAND, OH 44195-0001
(216) 636-8742
Mailing address
9500 EUCLID AVE, CONNECTED CARE/HOSPICE AND PALLIATIVE MEDICINE, CLEVELAND, OH 44195-0001
(216) 636-8742

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009784
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
34.009784
OH
207RI0200X
Infectious Disease Physician
20A12341
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/15/2006
Last updated
10/25/2022
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