Individual
DR. FEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 4033, KANSAS CITY, KS 66160-0001
(913) 588-3644
(913) 588-3663
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-3644
(913) 588-3663
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
04-29788
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100421420A
—
KS
05
—
100421420D
—
KS
05
—
205924301
—
MO
01
—
31416011
BCBS KANSAS CITY
—
Enumeration date
11/21/2006
Last updated
02/23/2017
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