Individual
KU IN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 SOUTH ROUTE 4, 207, HAGATNA, GU 96932
(671) 477-2873
Mailing address
302 SOUTH ROUTE 4, 207, HAGATNA, GU 96932
(671) 477-2873
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-110
GU
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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