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NPI Code Detail

MEDICARE: DR. KONG SHANG D.C.

MEDICARE: DR. KONG SHANG D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorB01095NV

General Provider Information

NPI Number : 1841272713
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KONG SHANG D.C.
Provider Business Mailing Address
First Line : 1075 N HILLS BLVD
Second Line : 370
City : RENO
State : NV
Zip : 89506-5732
Country : US
Telephone Number : 775-972-4488
Fax Number : 775-972-1853
Provider Business Practice Location Address
First Line : 1075 N HILLS BLVD
Second Line : 370
City : RENO
State : NV
Zip : 89506-5732
Country : US
Telephone Number : 775-972-4488
Fax Number : 775-972-1853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 07/22/2008

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Directions to “ DR. KONG SHANG D.C.” Practice Location

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