Individual
KIMBERLEE S FONG
Active
Individual
KIMBERLEE S FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
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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