Individual provider · Type 1 NPI

Sourasack Kit Vongsa, MD

Family Medicine Physician · Appleton, WI

NPI number 1619945524 Active

Practice location

2500 E Capitol Dr Ste 1200
Appleton, WI 54911

Call (920) 830-6877 Map

Fax (800) 236-2236

Mailing address

122 E College Ave
Appleton, WI 54911-5794

Other practice locations

  • 3329 N Richmond St, Appleton, WI 54911 · (920) 380-2727
  • 3329 N Richmond St, Appleton, WI 54911 · (920) 380-2727
  • 3329 N Richmond St, Appleton, WI 54911 · (920) 380-2727
  • 3329 N Richmond St, Appleton, WI 54911 · (920) 380-2727

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X47253 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1619945524

Sourasack Kit Vongsa, MD's National Provider Identifier is 1619945524, issued on Mar 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Appleton, WI. The record was last updated on Aug 19, 2019.