Kong Her PA-C

NPI 1720394463 - Physician Assistant - 363AM0700X

NPI Details
NPI 1720394463
Gender Female
Enumeration Date 08/19/2010
Last Updated 08/23/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
4131 W LOOMIS RD
STE 300
GREENFIELD WI, 53221-2057, US
Phone (414) 325-7246
Fax (414) 325-3770
Business Location
4131 W LOOMIS RD
STE 300
GREENFIELD WI, 53221-2057, US
Phone (414) 325-7246
Fax (414) 325-3770
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA21104
Remove 1720394463 NPI Number
 

According to our database, Kong Her PA-C NPI is 1720394463, taxonomy code is 363AM0700X and license number is PA21104, license state is located at California. Kong Her PA-C physically located at 4131 W Loomis Rd, Greenfield WI, 53221-2057. NPI Number Kong Her PA-C has the Individual type.

Sponsored links

1720394463 NPI number is provided on an as is basis without warranty of any kind. 1720394463 is maintained by the National Plan & Provider Enumeration System. The contents of Kong Her PA-C are for informational purposes only.