Individual
KAYIN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6856
Mailing address
14553 SW 153RD CT, MIAMI, FL 33196-2813
(786) 623-9354
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11004740
FL
363LF0000X
Family Nurse Practitioner
APRN11004740
FL
Other
Enumeration date
10/24/2019
Last updated
11/29/2022
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