Kang, Simon Moonkoo

Kang, Simon Moonkoo is an individual health care provider with primary practice located at 15433 Frost Path , Apple Valley MN 55124-6068. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Kang, Simon Moonkoo can be contacted via phone (651) 280-5485.

Contact Information

Primary practice address
15433 Frost Path Apple Valley MN 55124-6068
Phone: (651) 280-5485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7472 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7472 Minnesota

Profile Details

NPI number 1851917264
LBN Legal business name Kang, Simon Moonkoo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2020
Last updated Feb 17th, 2021 - about 3 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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