Individual
KA YING XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 ALABAMA AVE, SHEBOYGAN, WI 53081-5219
(920) 627-3735
Mailing address
5934 S BUSINESS DR, SHEBOYGAN, WI 53081-8914
(920) 627-3735
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
X520-5008-5057-08
WI
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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