Individual
KWOK LUN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6210 N DURANGO DR, LAS VEGAS, NV 89149-3916
(702) 940-1540
(702) 940-1541
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15964
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043508427
—
NV
01
—
15964
STATE LICENSE
NV
Enumeration date
07/19/2011
Last updated
10/21/2022
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