Individual
KAO VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11850 BLACKFOOT ST NW STE 130, COON RAPIDS, MN 55433-2583
(763) 236-9000
(763) 684-6006
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15333
MN
Other
Enumeration date
09/22/2022
Last updated
10/02/2025
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