Individual
XIAOQIN JENNIFER WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST, HX302, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-5128
Mailing address
800 ROSE ST, HX302, LEXINGTON, KY 40536-0293
(859) 323-5069
(859) 257-5128
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
336098828
IL
2085R0202X
Diagnostic Radiology Physician
Primary
48355
KY
2085R0202X
Diagnostic Radiology Physician
R2399
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207RA0401X
ADDICTION MEDICINE
KY
01
—
48355
MEDICAL LICENSE
KY
Enumeration date
05/10/2010
Last updated
08/27/2019
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