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Individual

MS. KRISTEN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1808 7TH AVE S, BIRMINGHAM, AL 35233-1912
(205) 934-2003
(205) 297-9411
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
44758
AL
208600000X
Surgery Physician
Primary
44758
AL
208600000X
Surgery Physician
75331-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2014
Last updated
06/28/2023
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