Individual
WILLIAM KENNETH WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Mailing address
43 WESTLAND AVE UNIT 609, BOSTON, MA 02115-4565
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI167076
MA
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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