Provider Demographics
NPI:1356377659
Name:KWONG, DONALD WING (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WING
Last Name:KWONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:644 2ND ST NE STE 106
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8823
Mailing Address - Country:US
Mailing Address - Phone:205-664-1333
Mailing Address - Fax:205-664-1043
Practice Address - Street 1:644 2ND ST NE STE 106
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8823
Practice Address - Country:US
Practice Address - Phone:205-664-1333
Practice Address - Fax:205-664-1043
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2010-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL25036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-07103OtherBLUE CROSS BLUE SHIELD PROVIDER NUMBER
AL510-07103OtherBLUE CROSS BLUE SHIELD PROVIDER NUMBER