Search › Wisconsin › 122300000X
Susan Kang
NPI 1326425679 · on the registry since 2015 · sole proprietor
Practice
- Address
- 12752 71st St Apt 101
Kenosha, WI 53142 - Phone
- (708) 217-8489
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin