Individual
KELVIN KARL YU WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60281872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022435
—
WA
Enumeration date
06/11/2012
Last updated
04/10/2017
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