MS. Kathryn Nicole Wong
MS. Kathryn Nicole Wong is a Physician Assistant in Burbank, California. Qualified in 2022, 4 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
3413 W Pacific AveBurbank, CA 91505-1555
Phone: (818) 841-3936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (CA) |
|---|
Record details
| NPI number | 1366168676 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2022 |
| Last updated in NPPES | January 7, 2023 |
| Certification date | October 31, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Providence Facey Medical Foundation — 323 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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