KANGSUN JIN

INDIANA, PA
NPI1023809167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP033087)
Enumeration Date2025-05-16
Last Update Date2025-06-27
Business Address
KANGSUN JIN CRNP
793 OLD ROUTE 119 HWY N
INDIANA, PA 15701-1372
Phone number: 888-686-1991
Mailing Address
KANGSUN JIN CRNP
134 BRADDOCK DR
LATROBE, PA 15650-1034
Phone number: 929-395-6116