Active NPI
Kathryn Mei Lin Wong-Gary, LMT
- Contractor
- Kurtistown, HI
National Provider Identifier
1316062268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MAT 3085
- Practice address
- 17384 Momona Rd
Kurtistown, HI 96760-1746 - Phone
- (808) 966-6076
- Fax
- (808) 966-6076
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MAT 3085 | HI | Primary |
Addresses
Primary practice location
17384 Momona Rd
Kurtistown, HI 96760-1746
Mailing address
PO Box 1746
Keaau, HI 96749-1746
Phone (808) 966-6076
Other names 1
- Mei Lin Wong-Gary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAT 3085 | HI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316062268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1746",
"city": "KEAAU",
"state": "HI",
"postal_code": "967491746",
"telephone_number": "808-966-6076",
"fax_number": "808-966-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17384 MOMONA RD",
"city": "KURTISTOWN",
"state": "HI",
"postal_code": "967601746",
"telephone_number": "808-966-6076",
"fax_number": "808-966-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG-GARY",
"first_name": "KATHRYN",
"middle_name": "MEI LIN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "HI",
"license": "MAT 3085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEI LIN",
"last_name": "WONG-GARY",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Kurtistown, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.