Fong, Kenton D

Fong, Kenton D is an sole proprietor health care provider with primary practice located at 845 Jackson St , San Francisco CA 94133-4899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Fong, Kenton D can be contacted via phone (415) 982-2400.

Contact Information

Primary practice address
845 Jackson St San Francisco CA 94133-4899
Phone: (415) 982-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A93721 California

Profile Details

NPI number 1932388444
LBN Legal business name Fong, Kenton D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2007
Last updated Sep 13th, 2019 - about 7 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 1932388444 NPPES
California Other A93721 MEDICAL LICENSE

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