Individual
JEANWAN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
231438
MA
2086S0129X
Vascular Surgery Physician
Primary
1.082045
CT
2086S0129X
Vascular Surgery Physician
18326
NH
2086S0129X
Vascular Surgery Physician
35120023
OH
2086S0129X
Vascular Surgery Physician
D92768
MD
2086S0129X
Vascular Surgery Physician
LT-3858
NH
Other
Enumeration date
04/06/2007
Last updated
07/01/2025
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