Kong, Amanda L.

Kong, Amanda L. is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Surgical Oncology, Milwaukee WI 53226-3522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Kong, Amanda L. can be contacted via phone (414) 805-5020.

Contact Information

Primary practice address
9200 W Wisconsin Ave Surgical Oncology Milwaukee WI 53226-3522
Phone: (414) 805-5020
Fax: (414) 805-5771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 51977 Wisconsin

Profile Details

NPI number 1063677755
LBN Legal business name Kong, Amanda L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Jan 18th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063677755 NPPES
Wisconsin MEDICAID 1063677755

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