Kong, Billy Sana
Kong, Billy Sana is an individual health care provider with primary practice located at 1255 Brice Blvd , Bartow FL 33830-6735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kong, Billy Sana can be contacted via phone (863) 519-8233.Contact Information
Primary practice address
1255 Brice Blvd
Bartow FL 33830-6735
Phone: (863) 519-8233
Fax: (863) 519-8304
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME50150 | Florida |
Profile Details
| NPI number | 1003804568 |
|---|---|
| LBN Legal business name | Kong, Billy Sana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Aug 11th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003804568 | NPPES |
| Florida | MEDICAID | 061584600 |
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