Individual
MR. KWANG S HAN
Active
Individual
MR. KWANG S HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203449
VA
225100000X
Physical Therapist
DC871116
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184961
ANTHEM BCBS
VA
01
—
716792
NCPPO
VA
Enumeration date
11/30/2006
Last updated
11/02/2014
Update your record
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