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Contact Information

KENLEY WONG, DPM
402 8TH AVE
#203
SAN FRANCISCO, CA94118
 Phone: 415-752-1140
 Fax: 415-752-1141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KENLEY WONG · (Male)

NPI Number 1295837607
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/05/2006
Last updated 11/15/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CA License # E2048
  • CA Medicaid 000E20480
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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