Kristen Elizabeth Wong, MD
Family Medicine in Warwick, RI. Individual provider (NPI-1).
NPI number1174106918
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1174106918
- Entity type
- Individual (NPI-1)
- Name
- Kristen Elizabeth Wong
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2021
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | LP05393 | RI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
455 Toll Gate RdWarwick, RI 02886-2759
Phone 401-737-7010
Mailing address
455 Toll Gate RdWarwick, RI 02886-2759
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