Wong, Kaitlyn Elizabeth Ellis
Wong, Kaitlyn Elizabeth Ellis is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Wong, Kaitlyn Elizabeth Ellis can be contacted via phone (508) 856-2138.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 856-2138
Fax: (774) 443-2043
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 287610 | Massachusetts |
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 287610 | Massachusetts |
Profile Details
NPI number | 1790006773 |
---|---|
LBN Legal business name | Wong, Kaitlyn Elizabeth Ellis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2010 |
Last updated | Dec 6th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790006773 | NPPES |
Massachusetts | MEDICAID | 110110902A |
Popular Providers
-
Smith, Mark B
1301 Barbara Jordan Blvd Suite 400, San Antonio TX 78723-3078 -
Harvey, Benson
25 Monument Rd Suite 120, York PA 17403-5049 -
Nazarey, Pradeep P
55 Lake Ave N Department Of Surgery, Worcester MA 01655-0002 -
Albert, Deborah Louise
830 Pennsylvania Ave Ste 202 , Charleston WV 25302-3389 -
Winer, Stephen Frank
229 S 4Th St , Lebanon PA 17042-6158 -
Figueroa-Otero, Ivan
252 Calle San Jorge Ste 407, San Juan PR 00912-3310 -
Green, Jonathan
55 Lake Ave N , Worcester MA 01655-0002 -
Davenport, Donald D
540 W 5Th St Ste 470, Odessa TX 79761-5070