Individual
KOK L. CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 US HIGHWAY 1 S STE C, SAINT AUGUSTINE, FL 32086-6371
(904) 320-0680
(904) 320-0800
Mailing address
2720 US HIGHWAY 1 S STE C, SAINT AUGUSTINE, FL 32086-6371
(904) 320-0680
(904) 320-0800
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
A63517
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME105841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001743900
—
FL
Enumeration date
11/01/2006
Last updated
09/21/2022
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