Kong, Yekyung

Kong, Yekyung is an individual health care provider with primary practice located at 1199 Pleasant Valley Way , West Orange NJ 07052-1424. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kong, Yekyung can be contacted via phone (973) 731-3600.

Contact Information

Primary practice address
1199 Pleasant Valley Way West Orange NJ 07052-1424
Phone: (973) 731-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA06160200 New Jersey
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 25MA06160200 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 25MA06160200 New Jersey

Profile Details

NPI number 1134117419
LBN Legal business name Kong, Yekyung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 10th, 2011 - about 13 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 1134117419 NPPES
New Jersey MEDICAID 0051055

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