Kevin Taehyo Kang, LAC
Acupuncturist in Palm Desert, CA. Individual provider (NPI-1).
NPI number1689405656
StatusActive
Last updated in NPPESAug 19, 2024
Details
- NPI
- 1689405656
- Entity type
- Individual (NPI-1)
- Name
- Kevin Taehyo Kang
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2024
- Certification date
- Aug 19, 2024
- Last updated
- Aug 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
Practice location
74399 Highway 111 Ste APalm Desert, CA 92260-4128
Phone 760-867-6337
Mailing address
13576 Buttemere RdPhelan, CA 92371-4286
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