Individual
KEVIN YUNFONG JENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(248) 703-6366
Mailing address
330 OAK GROVE ST, APT 606, MINNEAPOLIS, MN 55403-4003
(248) 703-6366
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036142020
IL
Other
Enumeration date
01/13/2012
Last updated
07/31/2017
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