Provider Demographics
NPI:1891283867
Name:WU, KEVIN YANG (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:YANG
Last Name:WU
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Gender:
Credentials:MD
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Mailing Address - Street 1:330 MT AUBURN ST
Mailing Address - Street 2:PARSONS 2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5597
Mailing Address - Country:US
Mailing Address - Phone:617-868-0880
Mailing Address - Fax:617-499-2974
Practice Address - Street 1:300 MOUNT AUBURN ST STE 316
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5665
Practice Address - Country:US
Practice Address - Phone:617-868-0880
Practice Address - Fax:617-499-2974
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2025-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD978722084N0400X
MA10208112084N0400X, 2084E0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology