Individual
DR. KAOCHONG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
901 MAIN AVE, DE PERE, WI 54115-1305
(920) 983-6153
(920) 983-6183
Mailing address
901 MAIN AVE, DE PERE, WI 54115-1305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19422
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19422-40
LICENSE #
WI
Enumeration date
02/24/2020
Last updated
02/24/2020
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