Individual
KELLY XINGYUAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
(702) 800-5393
Mailing address
10624 S EASTERN AVE STE A-955, HENDERSON, NV 89052-2982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO3103
NV
Other
Enumeration date
03/20/2019
Last updated
06/29/2022
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