Kong, Bobby Kipak

Kong, Bobby Kipak is an individual health care provider with primary practice located at 5325 Elliott Dr Suite # 102, Ypsilanti MI 48197-8633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kong, Bobby Kipak can be contacted via phone (734) 712-5500.

Contact Information

Primary practice address
5325 Elliott Dr Suite # 102 Ypsilanti MI 48197-8633
Phone: (734) 712-5500
Fax: (734) 712-8209
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X BK057809 Michigan

Profile Details

NPI number 1013943083
LBN Legal business name Kong, Bobby Kipak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 16th, 2021 - about 4 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 1013943083 NPPES
Michigan MEDICAID 4826911

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