Individual
MARK KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
8401 COLESVILLE RD, SUITE 50, SILVER SPRING, MD 20910-3312
(301) 588-7888
Mailing address
14712 CARONA DR, SILVER SPRING, MD 20905-7411
(301) 526-6301
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000489
MD
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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