Individual
KEVIN ETHAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
WELLSTAR KENNESTONE HOSPITAL, 677 CHURCH STREET NORTHEAST, MARIETTA, GA 30060-1101
(770) 793-5000
Mailing address
11986 CRANSTON DR, ARLINGTON, TN 38002-4620
(901) 262-2976
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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