Kelly Wong MSN, FNP-BC

NPI 1710157318 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1710157318
Gender Female
Enumeration Date 03/11/2008
Last Updated 01/07/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
4201 HENRY AVE
PHILADELPHIA UNIVERSITY, STUDENT HEALTH CENTER
PHILADELPHIA PA, 19144-5409, US
Phone (215) 951-2986
Fax (215) 951-6867
Business Location
4201 HENRY AVE
PHILADELPHIA UNIVERSITY, STUDENT HEALTH CENTER
PHILADELPHIA PA, 19144-5409, US
Phone (215) 951-2986
Fax (215) 951-6867
Toxanomy
Taxonomy Code 363LF0000X
License State Pennsylvania
License Number SP009541
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According to our database, Kelly Wong MSN, FNP-BC NPI is 1710157318, taxonomy code is 363LF0000X and license number is SP009541, license state is located at Pennsylvania. Kelly Wong MSN, FNP-BC physically located at 4201 Henry Ave, Philadelphia PA, 19144-5409. NPI Number Kelly Wong MSN, FNP-BC has the Individual type.

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1710157318 NPI number is provided on an as is basis without warranty of any kind. 1710157318 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Wong MSN, FNP-BC are for informational purposes only.