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Individual

KUN YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4489
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
264313
MA
207R00000X
Internal Medicine Physician
Primary
MD16245
RI

Other

Enumeration date
06/25/2015
Last updated
06/02/2018
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