Individual
CHANSEULKI KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7000
Mailing address
2011 APPALACHIAN TRL, EDMOND, OK 73003-2205
(040) 551-2456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
207638
OK
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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