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Individual

MARJORIE MAE WONGSKHALUANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4801 COLLEGE BLVD FL 2, LEAWOOD, KS 66211-1628
(913) 721-3387
(816) 875-2597
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(913) 721-3387
(816) 875-2597

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-37750
KS
207R00000X
Internal Medicine Physician
2014015768
MO
207RI0200X
Infectious Disease Physician
Primary
04-37750
KS
207RI0200X
Infectious Disease Physician
2014015768
MO

Other

Enumeration date
05/12/2009
Last updated
03/05/2026
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