Individual provider · Type 1 NPI
Kenneth Edward Wong, MD
Cardiovascular Disease Physician · Raceland, LA
NPI number
1215935986
Active
Practice location
102 Twin Oaks Dr
Raceland, LA 70394-2760
Fax (985) 537-4074
Mailing address
PO Box 4176
Houma, LA 70361-4176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | 11066R (LA) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Another provider at this address
About NPI 1215935986
Kenneth Edward Wong, MD's National Provider Identifier is 1215935986, issued on Jul 7, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Raceland, LA. The record was last updated on Oct 19, 2015.