Individual
KEVIN KIN TUCK CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
94-1410 MOANIANI ST STE C, WAIPAHU, HI 96797-6207
(808) 678-8467
Mailing address
94-1410 MOANIANI ST STE C, WAIPAHU, HI 96797-6207
(808) 678-8467
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
007
HI
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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