| NPI | 1477324168 |
|---|---|
| Professional Name | KEVIN LANGE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 792259-01) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |