Individual
JEESOO DANIEL KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
113 SOUTH LOGAN DRIVE, TAHLEQUAH, OK 74464
(817) 394-8816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207R00000X
OK
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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