| Doctor Name: | MISS HYUN-JU KANG |
| NPI Number: | 1043417645 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 556835 |
| Business Practice Address: | 36000 Darnall Loop Fort Hood, TX - 765445095 |
| Business Phone Number: | 2542875410 |
| Business Fax Number: | |
| Mailing Address: | 200 Lake Rd Apt 1301, BELTON |
| State: | TX |
| Postal Code: | 765131539 |
| Phone Number: | 3017689400 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 556835 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |