Individual
KEN KOON WONG
Active
Individual
KEN KOON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
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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