Individual provider · Type 1 NPI

Lydia Kong, MD

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1942990791 Active

Practice location

7615 Kennedy Hl Bldg 1
San Antonio, TX 78235-4438

Call (210) 619-7105 Map

Mailing address

8309 Hearthstone Ct
Fort Worth, TX 76123-1876

Other practice locations

  • 4301 Broadway St, San Antonio, TX 78209 · (210) 619-7105

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942990791

Lydia Kong, MD's National Provider Identifier is 1942990791, issued on May 15, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on May 15, 2023.