Individual
DR. KYNE MARTIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9901075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1216U
BCBS STATE FEDERAL NC HEA
NC
01
—
1255307
UNITED HEALTHCARE
—
01
—
2242290
AETNA
—
01
—
273703
MAMSI ALLIANCE
—
01
—
88979
MEDCOST
—
01
—
8912160
CAROLINA ACCESS NC
—
05
—
891216U
—
NC
Enumeration date
04/22/2006
Last updated
07/12/2007
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