Kelly Wong is a Family in Philadelphia, Pennsylvania. Kelly Wong practices all healthcare services and medical treatments related to Family. The NPI Number for Kelly Wong is 1710157318. The last update date is 2013-01-07.
Kelly Wong's current location address is 4201 Henry Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159512986 and fax number 2159516867. The mailing address for Kelly Wong is 4201 Henry Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Wong |
|---|---|
| Address | 4201 Henry Ave, Philadelphia, Pennsylvania |
| Phone Number | 2159512986 |
| Fax Number | 2159516867 |
| Sole Proprietor | N |
| Credentials | MSN, FNP-B |
NPI Number Detail
| NPI Number | 1710157318 |
|---|---|
| Provider Enumeration Date | 2008-03-11 |
| Last Updated Date | 2013-01-07 |
Provider Mailing Address Detail
| Address | 4201 Henry Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191445409 |
| Phone Number | 2159512986 |
| Fax Number | 2159516867 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | SP009541 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Wong?
The Kelly Wong has been issued the NPI (National Provider Identifier) 1710157318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kelly Wong's facilities are situated?
The facilities of Kelly Wong are physically located at the following address: 4201 Henry Ave, Philadelphia, PA, 191445409.
What is Kelly Wong's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Wong's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710157318 to Kelly Wong?
The Centers for Medicare & Medicaid Services originally issued the 1710157318 to Kelly Wong on 2008-03-11.
As of what date were the details pertaining to Kelly Wong last refreshed?
The information related to the Kelly Wong, including its address, specialty, and other relevant details, was last updated on 2013-01-07.
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