Doctor Name: | HYUNJUNG KANG |
NPI Number: | 1528497591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | 532335 |
Business Practice Address: | 45 Reade Pl Poughkeepsie, NY - 126013947 |
Business Phone Number: | 8454713289 |
Business Fax Number: | 8454373145 |
Mailing Address: | 3998 Fair Ridge Dr, Suite 300 FAIRFAX |
State: | VA |
Postal Code: | 220332921 |
Phone Number: | 7032959360 |
Fax Number: | 7037669737 |
NPI Enumeration Date: | 11/11/2013 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 532335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |