| Kim Khong, | |
|
2509 Brentmoor Ct, Suwanee, GA 30024-2990 | |
| (714) 312-9908 | |
| Not Available |
| Full Name | Kim Khong |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2509 Brentmoor Ct, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083499222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT016811 (Georgia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Khong, 2509 Brentmoor Ct, Suwanee, GA 30024-2990 Ph: () - | Kim Khong, 2509 Brentmoor Ct, Suwanee, GA 30024-2990 Ph: (714) 312-9908 |
Mrs. Clarice M Ezeanya, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Satellite Blvd Ne Ste 111, Suwanee, GA 30024 Phone: 862-202-6596 | |
Maria E. Doolen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7350 Mcginnis Ferry Rd, Suite 200, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 | |
Rehab Of Suwanee Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Peachtree Industrial Blvd, Suite #290, Suwanee, GA 30024 Phone: 770-850-0857 | |
Avaniben Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4060 Johns Creek Pkwy Ste H, Suwanee, GA 30024 Phone: 770-622-5344 Fax: 770-622-5388 | |
David A Linbo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2576 Lawrenceville Suwanee Rd Bldg 1, Suwanee, GA 30024 Phone: 770-962-4043 | |
Benchmark Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3630 Peachtree Pkwy Ste 310, Suwanee, GA 30024 Phone: 678-473-1081 Fax: 678-473-1082 | |
Atlanta Falcons Physical Therapy Centers Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1180 Satellite Blvd Nw, Suite 100, Suwanee, GA 30024 Phone: 404-367-2080 Fax: 770-495-3493 |