Individual
ALBERT KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2537 W STATE ST STE 200, BOISE, ID 83702-2200
(208) 336-0895
Mailing address
40 E 9TH ST APT 12A, NEW YORK, NY 10003-6426
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61432
ID
Other
Enumeration date
07/16/2018
Last updated
07/10/2019
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