KELLY WONG MSN FNP-BC NPI 1710157318

NPI Information

Kelly Wong, MSN, FNP-BC is a family nurse practitioner in Philadelphia, PA. Kelly Wong, MSN, FNP-BC NPI is 1710157318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4201 HENRY AVE
PHILADELPHIA UNIVERSITY, STUDENT HEALTH CENTER
PHILADELPHIA, PA
ZIP 19144-409
Phone: (215) 951-2986
Fax: (215) 951-6867

The NPI 1710157318 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 1/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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