Individual
PAULINE KAHNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
275 ROUTE 30 N, BOMOSEEN, VT 05732-9647
(802) 773-3386
Mailing address
17 BEAR HOLLOW LN, DELMAR, NY 12054-5200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003147
NY
Other
Enumeration date
05/23/2005
Last updated
06/26/2019
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