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KEVIN ETHAN WANG DO
NPI 1477357424
Student in an Organized Health Care Education/Training Program in Marietta, GA

Active since April 01, 2025PECOS Enrolled
WELLSTAR KENNESTONE HOSPITAL, 677 CHURCH STREET NORTHEAST, MARIETTA, GA 30060(770) 793-5000 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kevin Ethan Wang Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN ETHAN WANG DO (NPI 1477357424) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477357424
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN ETHAN WANGCredential: DO
Location AddressWELLSTAR KENNESTONE HOSPITAL, 677 CHURCH STREET NORTHEASTMarietta, GA 30060-1101
Mailing Address11986 Cranston DrArlington, TN 38002-4620 · (901) 262-2976
Phone(770) 793-5000
Sole ProprietorYes
Enumeration DateApril 1, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1477357424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
WELLSTAR KENNESTONE HOSPITAL, Marietta, GA 30060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Ethan Wang Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL KRIEGER DO
Pediatrics
WELLSTAR KENNESTONE HOSPITAL, 115 CHERRY STREET
MARIETTA, GA 30060
Cobb County (770) 793-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Wang's NPI number?

The NPI number for Kevin Wang is 1477357424. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Kevin Wang located?

Kevin Wang practices at Wellstar Kennestone Hospital 677 Church Street Northeast, Marietta, GA 30060. The listed phone number is (770) 793-5000.

What is Kevin Wang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Wang enrolled in Medicare?

Yes. Kevin Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Wang was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.