Provider Demographics
NPI:1003620295
Name:WONG, MEI LING KARINE (MS, RD, LD, CNSC)
Entity type:Individual
Prefix:MS
First Name:MEI LING KARINE
Middle Name:
Last Name:WONG
Suffix:
Gender:F
Credentials:MS, RD, LD, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9514 W 164TH CT
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66085-7870
Mailing Address - Country:US
Mailing Address - Phone:317-379-1845
Mailing Address - Fax:
Practice Address - Street 1:9514 W 164TH CT
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66085-7870
Practice Address - Country:US
Practice Address - Phone:317-379-1845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008013394133V00000X
961167133V00000X
KS1650133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered