| NPI | 1134824964 |
|---|---|
| Former Name | KELVIN KANG NONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-05-06 |