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Individual

KWANG HEE ALEXANDER JOHNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
804 22ND AVE, KEARNEY, NE 68845-2206
(308) 455-3600
Mailing address
PO BOX 99, KEARNEY, NE 68848-0099
(308) 224-2062
(888) 974-5962

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101514
NE

Other

Enumeration date
01/08/2019
Last updated
01/08/2019
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