Healthcare Provider Details

I. General information

NPI: 1609730449
Provider Name (Legal Business Name): BET KEY WONG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16747 FLATSTONE CIR
MILTON DE
19968-3906
US

IV. Provider business mailing address

179 REHOBOTH AVE UNIT 1212
REHOBOTH BEACH DE
19971-7946
US

V. Phone/Fax

Practice location:
  • Phone: 302-582-0072
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0042070
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: