Individual
EDITH H KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2355 HIGHWAY 36 W, STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Mailing address
2355 HIGHWAY 36 W, STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36166
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784263500
—
MN
Enumeration date
01/09/2006
Last updated
07/19/2021
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