Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAEWOONG KONG, MD
Active Sole ProprietorTAEWOONG KONG, MD is a Student (Health Education/Training) healthcare provider located in FRUITPORT, Michigan. NPI 1588550826 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · FRUITPORT, MI
Registration Details
- NPI Number
- 1588550826
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2025 (0.98790600468832 yrs)
- Last Updated
- Jun 13, 2025
- License
-
4351055141 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3443 FARR RDFRUITPORT, MI, 494158779Browse MI providers · Browse ZIP 49415
- Phone
- 2316722900
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in FRUITPORT, MI
| Name | Credential | NPI |
|---|---|---|
| ALYSSA ROSE TOIA | D.O. | 1285120394 |
| BROOKE ROLLSTON | — | 1841803798 |
| ALLISON NICHOLE CROWL | MD | 1770267270 |
| MS. KRISTINA DEMITRA VALKANAS | M.D. | 1437946647 |
| SAMEEN BASHIR BUTT | M.D. | 1144114232 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.