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NPI Code Detail

MEDICARE: KANG HO

MEDICARE:   KANG  HO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist19463CO

General Provider Information

NPI Number : 1700393105
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANG HO
Provider Business Mailing Address
First Line : 363 S HARLAN ST STE 105
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-3552
Country : US
Telephone Number : 303-339-0868
Fax Number :
Provider Business Practice Location Address
First Line : 363 S HARLAN ST STE 105
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-3552
Country : US
Telephone Number : 303-339-0868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 06/26/2026

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Directions to “ KANG HO ” Practice Location

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