Individual
CHRIS WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 301-8074
(859) 301-4945
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-8074
(859) 301-4945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27296
KY
208M00000X
Hospitalist Physician
Primary
27296
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509390
—
IN
05
—
2272553
—
OH
05
—
64272966
—
KY
Enumeration date
06/27/2005
Last updated
03/10/2022
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