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Individual

KENNETH MYUNGDEI KANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-0000
Mailing address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-0000

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00033534
WA
207N00000X
Dermatology Physician
Primary
MD17781
OR

Other

Enumeration date
08/15/2006
Last updated
07/10/2007
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