Wong, Kenneth Richard
Wong, Kenneth Richard is an individual health care provider with primary practice located at 525 East 68Th Street, Mailbox 301 Ny Presbyterian Cornell- Emergency Medicine Residency, New York City NY 10021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Wong, Kenneth Richard can be contacted via phone (949) 903-0215.Contact Information
Primary practice address
525 East 68Th Street, Mailbox 301 Ny Presbyterian Cornell- Emergency Medicine Residency
New York City NY 10021
Phone: (949) 903-0215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01084070A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 910442318 | Connecticut |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 04-45699 | Kansas |
Profile Details
| NPI number | 1669826285 |
|---|---|
| LBN Legal business name | Wong, Kenneth Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2016 |
| Last updated | Feb 23rd, 2022 - about 3 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 | 1669826285 | NPPES |
| California | Other | D7686569 | CALIFORNIA DRIVER'S LICENSE |
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