Individual
DR. KENLEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
402 8TH AVE, #203, SAN FRANCISCO, CA 94118
(415) 752-1140
(415) 752-1141
Mailing address
402 8TH AVE, #203, SAN FRANCISCO, CA 94118
(415) 752-1140
(415) 752-1141
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E20480
—
CA
Enumeration date
09/05/2006
Last updated
11/15/2009
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