Individual
KANGSUN JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(888) 686-1991
Mailing address
134 BRADDOCK DR, LATROBE, PA 15650-1034
(929) 395-6116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP033087
PA
Other
Enumeration date
05/16/2025
Last updated
06/27/2025
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