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Kemoy Fong
Acute Care Nurse Practitioner in Oak Creek, Wisconsin
NPI 1457096828

Kemoy Fong is an Acute Care Nurse Practitioner based in Oak Creek, WI and is specialized in Acute Care. Kemoy Fong practices in Oak Creek, WI. The NPI Number for Kemoy Fong is 1457096828 and holds a License No. 11742-33 (Wisconsin).

The current practice location address for Kemoy Fong is 2620 W Lakewood Ln Apt 3B, Oak Creek, WI and can be reached out via phone at 407-616-3976.

Location: 2620 W Lakewood Ln Apt 3B, Oak Creek, WI, 53154-8230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457096828
Provider Name
Kemoy Fong
Credential
Provider Entity Type
Individual
Gender
Male
Address
2620 W Lakewood Ln Apt 3B, Oak Creek, WI, 53154-8230
Phone Number
407-616-3976
Fax Number
Provider Enumeration Date
04/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2620 W Lakewood Ln Apt 3B
City
Oak Creek
State
Wisconsin
Zip
53154-8230
Phone Number
407-616-3976
Fax Number
person
Provider Business Mailing Address Details
Address
2620 W Lakewood Ln Apt 3B
City
Oak Creek
State
Wisconsin
Zip
53154-8230
Phone Number
407-616-3976
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
11742-33 (Wisconsin)
Definition
Definition to come...
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