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Individual

DR. JASON RAPHAEL KANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-5006
(507) 284-2511
Mailing address
393 E WALNUT ST, FL 3, PASADENA, CA 91188-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
61885
MN
207X00000X
Orthopaedic Surgery Physician
67510-20
WI
207X00000X
Orthopaedic Surgery Physician
A126414
CA

Other

Enumeration date
04/05/2012
Last updated
12/17/2021
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