Kong, Jessica

Kong, Jessica is an individual health care provider with primary practice located at 2904 Foltz Dr , Edgewood KY 41017-2525. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kong, Jessica can be contacted via phone (859) 795-3000.

Contact Information

Primary practice address
2904 Foltz Dr Edgewood KY 41017-2525
Phone: (859) 795-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-79522

Profile Details

NPI number 1669004321
LBN Legal business name Kong, Jessica
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2020
Last updated Feb 10th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669004321 NPPES
Other RBT-19-79522 CERTIFICATE

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