Individual
DR. KYNE MARTIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4022 FREEDOM LAKE DR, DURHAM, NC 27704
(919) 477-2202
(919) 471-2270
Mailing address
4022 FREEDOM LAKE DR, DURHAM, NC 27704
(919) 477-2202
(919) 471-2270
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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