Provider Demographics
NPI:1386317063
Name:XIONG, MENG
Entity type:Individual
Prefix:
First Name:MENG
Middle Name:
Last Name:XIONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7340 NE 142ND PL APT C
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4953
Mailing Address - Country:US
Mailing Address - Phone:253-993-0931
Mailing Address - Fax:
Practice Address - Street 1:736 BRAWLEY SCHOOL RD STE E
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9283
Practice Address - Country:US
Practice Address - Phone:704-664-1031
Practice Address - Fax:704-664-1035
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA110028986720Medicaid