Kang, Nicole

Kang, Nicole is an individual health care provider with primary practice located at 1145 Sturgis Road , Twentynine Palms CA 92278. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kang, Nicole can be contacted via phone (760) 830-2724.

Contact Information

Primary practice address
1145 Sturgis Road Twentynine Palms CA 92278
Phone: (760) 830-2724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810005713 Virginia

Profile Details

NPI number 1124560552
LBN Legal business name Kang, Nicole
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2016
Last updated Oct 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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