KELLY WONG (NPI# 1710157318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710157318 |
| Entity Type | Individual |
| Full Name | KELLY WONG |
| Credential | MSN, FNP-BC |
| Practice Address |
4201 Henry Ave Philadelphia University, Student Health Center Philadelphia PA 19144-5409 |
| Practice Telephone | 2159512986 |
| Practice Fax Number | 2159516867 |
| Mailing Telephone | 2159512986 |
| Mailing Fax Number | 2159516867 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2013-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP009541 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992176259 | Kelly Wong | Pharmacist | 1120 S Nt Vernon Ave, Colton, CA 92324 | 2015-10-13 |
| 1699865741 | Kelly Kwok Wong | Specialist | 728 Pacific Ave # 703, San Francisco, CA 94133-4457 | 2006-10-12 |
| 1194377572 | Kelly Wong | Behavior Technician | 8795 Folsom Blvd Ste 103, Sacramento, CA 95826-3720 | 2019-07-15 |
| 1306347364 | Kelly Wong | Behavior Technician | 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 | 2018-02-26 |
| 1376073593 | Kelly Wong | Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-20 |
| 1205174505 | Kelly Lee Wong | Internal Medicine | 3300 Webster St, 1000, Oakland, CA 94609-3117 | 2013-01-21 |
| 1174803605 | Kelly Marie Wong | Nurse Practitioner | 861 Sw 78th Ave, Ste 200b, Plantation, FL 33324-3273 | 2011-08-29 |
| 1215106448 | Kelly Tim Tim Wong | Family Medicine | 711 W College St Ste 208, Los Angeles, CA 90012-1093 | 2008-02-21 |
| 1932289824 | Kelly Kristin Wong | Family Medicine | 250 E Yale Loop, Ste 204, Irvine, CA 92604-4697 | 2006-10-16 |
| Street Address |
4201 HENRY AVE PHILADELPHIA UNIVERSITY, STUDENT HEALTH CENTER |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-5409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225159544 | Karen Dahlquist | Clinic/Center | 4201 Henry Ave, Philadelphia University Student Health Center, Philadelphia, PA 19144-5409 | 2007-04-03 |
| 1366055782 | Abbie Marie Predmore | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1740893163 | Colton Dayne Salomon-lowden | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1194338517 | Teagen Hay | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1033722442 | Benjamin G Cochran | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1942813357 | Mikala Palermo | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1205449618 | Kourtney Jane Snigar | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1508479924 | Marcellus Hill | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-08-25 |
| 1962033571 | Kelli Lynn Swanson | Student in an Organized Health Care Education/Training Program | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-02-01 |
| 1801427562 | Jalen Mergenhagen | Specialist/Technologist | 4201 Henry Ave, Philadelphia, PA 19144-5409 | 2020-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on KELLY WONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.