NPI Registry.org

Courtney Leigh Kang

NPI Registration Record

Provider / OrganizationNPIDate Certified
COURTNEY LEIGH KANG10438291462020-07-24
Entity TypeIndividual
Provider Name Courtney Leigh Kang
Practice Office Address1621 THACKERY LN
PROSPER, TX US
Practice Office Telephone6616078134
Mailing Address1621 THACKERY LN
PROSPER, TX 750782028 US
Business Telephone6616078134
Contact Endpoints
CONNECT URL []ProsperDirect
HPT Codes
CodeLicense NoState
235Z00000X PRIMARY14187 CA
193400000X SINGGroup Code
OPI Codes

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