NPI 1194270801

Tou Su Taylor Kong

Practitioner Driver Saint Paul, MN

Practice location

Address: 33 Battle Creek Pl, Saint Paul, MN 55119-4909
Phone: (651) 263-2866

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1194270801
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2016
Record last updated: 23 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.