Individual
KRISTEN KANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 241-8100
Mailing address
325 EVERETT RD, EASTON, CT 06612-1203
(718) 869-9441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
310643
NY
Other
Enumeration date
01/09/2022
Last updated
01/25/2022
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