Individual
KEVIN WONG
Active
Individual
KEVIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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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