Kong, Polly R

Kong, Polly R is an individual health care provider with primary practice located at 6900 Pecos Rd , N Las Vegas NV 89086-4400. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kong, Polly R can be contacted via phone (702) 526-0400.

Contact Information

Primary practice address
6900 Pecos Rd N Las Vegas NV 89086-4400
Phone: (702) 526-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 6509-S Nevada
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149018297 Illinois

Profile Details

NPI number 1770884132
LBN Legal business name Kong, Polly R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2010
Last updated Apr 18th, 2016 - about 10 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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