Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 931420200 | MN |
NPI | 1750461042 |
---|---|
Provider Name | Mrs. Kaying Vang |
First Address | Saint Paul, MN 55130-3434 |
Second Address | Saint Paul, MN 55130-3434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 24/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
931420200 | (05) | MN |