Individual
KEN KOON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 AKRON GENERAL AVE, 5TH FLOOR, ACC BUILDING, AKRON, OH 44307-2432
(330) 344-6015
(330) 344-6820
Mailing address
1 AKRON GENERAL AVE, 5TH FLOOR, ACC BUILDING, AKRON, OH 44307-2432
(330) 344-6015
(330) 344-6820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-125312
OH
207RI0200X
Infectious Disease Physician
Primary
35-125312
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123634
—
OH
01
—
0454744
AKRON GENERAL (IMCA) MEDICAID GROUP #
OH
01
—
1821035940
AKRON GENERAL TYPE 2 NPI #
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
3600271
AKRON GENERAL MEDICARE GROUP #
OH
Enumeration date
07/10/2010
Last updated
01/08/2016
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