Individual
MANJOT K KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
167 W MAIN RD STE F, CONNEAUT, OH 44030-2057
(440) 599-7466
(440) 593-6498
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 599-7466
(440) 593-6498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-083889
OH
207Q00000X
Family Medicine Physician
MD424251
PA
Other
Enumeration date
07/14/2005
Last updated
12/08/2020
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