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Individual
DR. KEVIN WANG
Active
Individual
DR. KEVIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A102872
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A102872
CA
208VP0014X
Interventional Pain Medicine Physician
A102872
CA
390200000X
Student in an Organized Health Care Education/Training Program
237555
NY
Other
Enumeration date
04/07/2008
Last updated
12/13/2021
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