Individual
DAWN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3651 COLLEGE BLVD STE 200, LEAWOOD, KS 66211-1910
(913) 319-7633
Mailing address
3651 COLLEGE BLVD, LEAWOOD, KS 66211-1910
(913) 319-7633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02986
KS
363A00000X
Physician Assistant
56845
CA
Other
Enumeration date
10/28/2019
Last updated
11/20/2024
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