Individual
KYLE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-3494
(513) 584-4007
Mailing address
2830 VICTORY PARKWAY, PAYOR ENROLLMENT, CINCINNATI, OH 45206-1785
(513) 585-5507
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
199980
NC
2085R0001X
Radiation Oncology Physician
Primary
35.139914
OH
Other
Enumeration date
04/09/2013
Last updated
01/11/2021
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