Individual
PATRICIA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
867 MCGUIRE AVE, PADUCAH, KY 42001-4036
(731) 394-1145
Mailing address
PO BOX 187, ELKTON, KY 42220-0187
(270) 265-2574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013314
KY
Other
Enumeration date
12/10/2019
Last updated
10/27/2021
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