Individual provider · Type 1 NPI
Kristin A. Kang, PNP
Pediatric Nurse Practitioner · Peoria, IL
NPI number
1174772552
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 249.008812 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1174772552
Kristin A. Kang, PNP's National Provider Identifier is 1174772552, issued on Sep 10, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Peoria, IL. The record was last updated on Feb 3, 2012.