Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 254705 | NY |
NPI | 1326239716 |
---|---|
Provider Name | Dr. Kevin Lwin Aung Soe |
First Address | Danville, PA 17822-4903 |
Second Address | Wilkes Barre, PA 18711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 01/10/2018 |