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Individual
SIMON MOONKOO KANG
Active
Individual
SIMON MOONKOO KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7472
MN
363L00000X
Nurse Practitioner
Primary
NP95037156
CA
363LF0000X
Family Nurse Practitioner
7472
MN
Other
Enumeration date
06/22/2020
Last updated
02/25/2026
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