| Dr Kyong A Kong, DDS | |
|
825 Euclid Ave, Kansas City, MO 64124-2323 | |
| (816) 474-4920 | |
| (816) 889-1845 |
| Full Name | Dr Kyong A Kong |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 825 Euclid Ave, Kansas City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831104579 | NPI | - | NPPES |
| 409037009 | Medicaid | MO | |
| C16000075 | Other | MO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2004000867 (Missouri) | Primary |
| Entity Name | Samuel U Rodgers Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578570982 PECOS PAC ID: 9739092826 Enrollment ID: O20031105000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyong A Kong, DDS 825 Euclid Ave, Kansas City, MO 64124-2323 Ph: (816) 474-4920 | Dr Kyong A Kong, DDS 825 Euclid Ave, Kansas City, MO 64124-2323 Ph: (816) 474-4920 |
Dr. Cory Jenson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5106 Ne Antioch Rd, Kansas City, MO 64119 Phone: 816-298-8585 | |
Alaina Jo Calabrese, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Ne Vivion Rd, Kansas City, MO 64119 Phone: 816-420-9070 | |
James W. Lowe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Michael W Lowe, D.D.S., M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5707 Nw 64th Ter, Kansas City, MO 64151 Phone: 816-454-2200 Fax: 816-454-2598 | |
Dr. Jason Matthew Sanchez, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 Nichols Rd, Suite 204, Kansas City, MO 64112 Phone: 816-561-0333 Fax: 816-561-0724 | |
Dr. Amy Ellis Burleson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3257 | |
Dr. Zavon F Kanion, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 5240 Prospect Ave, Kansas City, MO 64130 Phone: 816-921-8187 Fax: 816-921-2086 |