Individual
DR. KEVIN THOMAS LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 N SUNRISE AVE, SUITE 1005, ROSEVILLE, CA 95661-2924
(916) 782-1217
(916) 782-7630
Mailing address
151 N SUNRISE AVE, SUITE 1005, ROSEVILLE, CA 95661-2924
(916) 782-1217
(916) 782-7630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A71072
CA
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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