Sourasack Kit Vongsa MD

  • NPI 1619945524
According to our database, the NPI number for Sourasack Kit Vongsa MD is 1619945524 and activated since 18 years ago. Sourasack Kit Vongsa MD is an individual provider who specializes in Family Medicine, and the primary practice location is 2500 E Capitol Dr Ste 1200, Appleton, WI 54911. You can also contact Sourasack Kit Vongsa MD via telephone number is (920) 830-6877. Provider NPI information was last updated on 08/19/2019.

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Overview of Sourasack Kit Vongsa MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/08/2006
  • Last updated: 08/19/2019

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 47253
  • License State: WI

Provider Mailing Address

  • Address: 122 E College Ave
    Appleton, WI 54911
  • Phone: 920-996-3264
  • Fax: 920-830-5970

Provider Practice Location

  • Address: 2500 E Capitol Dr Ste 1200
    Appleton, WI 54911
  • Phone: 920-830-6877
  • Fax: 800-236-2236

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 47253
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 34808400
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Sourasack Kit Vongsa MD?
  • A: The npi number for Sourasack Kit Vongsa MD is 1619945524.
  • Q: What are Sourasack Kit Vongsa MD's specialties?
  • A: Sourasack Kit Vongsa MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Sourasack Kit Vongsa MD?
  • A: The medical license number for Sourasack Kit Vongsa MD is 47253 and issued in WI in USA.
  • Q: Where is Sourasack Kit Vongsa MD practice location?
  • A: Sourasack Kit Vongsa MD is practicing at 2500 E Capitol Dr Ste 1200, Appleton, WI 54911.
  • Q: How to contact Sourasack Kit Vongsa MD?
  • A: You can contact Sourasack Kit Vongsa MD via 920-830-6877.