Individual
JANIS T KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
98-470 PUAAPIKI STREET, AIEA, HI 96701
(808) 432-5888
Mailing address
98-470 PUAAPIKI STREET, AIEA, HI 96701
(808) 927-1565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-428
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B0229274
HMSA BILLING NUMBER
HI
Enumeration date
08/25/2009
Last updated
12/21/2017
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