Wang, Kyne Martin

Wang, Kyne Martin is an individual health care provider with primary practice located at 4022 Freedom Lake Dr , Durham NC 27704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wang, Kyne Martin can be contacted via phone (919) 477-2202.

Contact Information

Primary practice address
4022 Freedom Lake Dr Durham NC 27704
Phone: (919) 477-2202
Fax: (919) 471-2270
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9901075 North Carolina

Profile Details

NPI number 1962468660
LBN Legal business name Wang, Kyne Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jul 12th, 2007 - about 18 years 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 1962468660 NPPES
Other 2242290 AETNA
Other 273703 AETNA
Other 1216U AETNA
Other 1255307 AETNA
MEDICAID 891216U AETNA
Other 88979 AETNA
Other 8912160 AETNA

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