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Individual

KEVIN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1700 CENTER ST, MOBILE, AL 36604-3301
(251) 415-1000
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101020124
MI
2085P0229X
Pediatric Radiology Physician
Primary
DO.3432
AL
2085P0229X
Pediatric Radiology Physician
E-12195
AR

Other

Enumeration date
06/27/2012
Last updated
10/22/2023
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