Individual
SO YEON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE VETERAN DRIVE, MINNEAPOLIS, MN 55417-5541
(612) 467-3518
Mailing address
8291 COTTONWOOD LN N, MAPLE GROVE, MN 55369-2864
(612) 799-0729
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R218597-8
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2877
MN
Other
Enumeration date
05/21/2021
Last updated
10/19/2023
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