Individual
KANGYAN CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HIGH RIDGE RD, STAMFORD, CT 06905-3813
(203) 918-4970
Mailing address
93 SPRUCE ST APT 6, STAMFORD, CT 06902-4926
(203) 918-4970
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
734
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003495458
—
CT
Enumeration date
09/20/2018
Last updated
09/20/2018
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