Dr. Bobby Kipak Kong
Cardiothoracic Vascular Surgeon
5325 Elliott Dr Suite # 102
Ypsilanti
, Michigan 48197-8633
Dr. Bobby Kipak Kong
Cardiothoracic Vascular Surgeon
5325 Elliott Dr Suite # 102
Ypsilanti
, Michigan 48197-8633
(734) 712-8209
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bobby Kipak Kong
- 5325 Elliott Dr Suite # 102
- Ypsilanti, MI
- Zip : 48197-8633
- Fax : (734) 712-8209
- Phone : (734) 712-5500
Second Address
- Dr. Bobby Kipak Kong
- 5325 Elliott Dr Suite # 102
- Ypsilanti, MI
- Zip : 48197-8633
- Fax : (734) 712-8209
- Phone : (734) 712-5500
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | BK057809 | MI |
National Provider Identifier
| NPI | 1013943083 |
|---|---|
| Provider Name | Dr. Bobby Kipak Kong |
| First Address | Ypsilanti, MI 48197-8633 |
| Second Address | Ypsilanti, MI 48197-8633 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 16/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4826911 | (05) | MI |
| E85291 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.