Organization
KIANGO GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONIFACE ANYIENI (MANAGER)
(612) 390-0241
Entity
Organization
Contact information
Practice address
2129 FM 2920 RD STE 171, SPRING, TX 77388-3671
(612) 390-0241
Mailing address
2129 FM 2920 RD STE 171, SPRING, TX 77388-3671
(612) 390-0241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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