Whalio Doctors

NPI 1457693954

Jianxia Wang

Practitioner Family Medicine Physician Crestwood, KY

Practice location

Address
6411 Veterans Memorial Pkwy, Crestwood, KY 40014-8698
Phone
(502) 241-8611
Fax
(502) 241-4175
Mailing address
PO Box 776351, Chicago, IL 60677-6351

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 48857 (KY)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 103281 (GA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1457693954
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Mar 2013
Record last updated
7 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.