Individual
BONGKYUN KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12555 W NATIONAL AVE, #200, NEW BERLIN, WI 53151-4061
(262) 754-8040
Mailing address
12555 W. NATIONAL AVE., #200, NEW BERLIN, WI 53151
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
624-055
WI
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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