Provider Demographics
NPI:1518405596
Name:KHONG, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:KHONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4770 FOREST ST SUITE E
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216
Mailing Address - Country:US
Mailing Address - Phone:303-680-7337
Mailing Address - Fax:303-680-7337
Practice Address - Street 1:4770 FOREST ST SUITE E
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216
Practice Address - Country:US
Practice Address - Phone:303-680-7337
Practice Address - Fax:303-680-7337
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter