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Individual

MRS. LAURA HAEKYOUNG KANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN,C

Contact information

Practice address
424 MAIN ST, EAST ORANGE, NJ 07018-3212
(973) 674-8067
Mailing address
18 CECILIA DR, WAYNE, NJ 07470-4605
(973) 872-8879

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR08414400
NJ
163W00000X
Registered Nurse
450358
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00107600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405060
NY

Other

Enumeration date
08/30/2006
Last updated
07/11/2023
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