KENNETH WONG

SAN FRANCISCO, CA
NPI1992153977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  61473)
Enumeration Date2016-05-31
Last Update Date2022-11-10
Business Address
KENNETH WONG
505 PARNASSUS AVE
SAN FRANCISCO, CA 94143-2204
Phone number: 407-925-8943
Mailing Address
KENNETH WONG
1411 E 31ST ST
OAKLAND, CA 94602-1092
Phone number: 510-437-4800