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Individual

BYOUNG KWON KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9316154
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101924900
FL
01
IXA6Q
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/22/2018
Last updated
04/03/2025
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