Individual
BRANDON S KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
75-5751 KUAKINI HWY STE 101A, KAILUA KONA, HI 96740-1705
(808) 326-5629
Mailing address
75-5751 KUAKINI HWY STE 203, KAILUA KONA, HI 96740-1753
(808) 326-5629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4048
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797061
—
HI
Enumeration date
07/23/2015
Last updated
02/26/2021
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