Kong, Pei Ann
Kong, Pei Ann is an individual health care provider with primary practice located at One Medical Center Blvd Suite 532, Upland PA 19013-3902. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kong, Pei Ann can be contacted via phone (610) 447-6788.Contact Information
Primary practice address
One Medical Center Blvd Suite 532
Upland PA 19013-3902
Phone: (610) 447-6788
Fax: (610) 876-2407
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD418818 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD418818 | Pennsylvania |
Profile Details
| NPI number | 1912999798 |
|---|---|
| LBN Legal business name | Kong, Pei Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jul 8th, 2014 - about 11 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 | 1912999798 | NPPES |
| New York | MEDICAID | 2372301 | |
| New York | MEDICAID | 001912444 0001 |
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