Moua, Kao Feng

Moua, Kao Feng is an individual health care provider with primary practice located at 2600 Kiley Way , Plymouth WI 53073-5020. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Moua, Kao Feng can be contacted via phone (920) 449-7000.

Contact Information

Primary practice address
2600 Kiley Way Plymouth WI 53073-5020
Phone: (920) 449-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X 240959 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7088-851 Wisconsin

Profile Details

NPI number 1528319472
LBN Legal business name Moua, Kao Feng
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2012
Last updated Feb 5th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528319472 NPPES
Wisconsin MEDICAID 100088461

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