Provider Demographics
NPI:1265935886
Name:KANG, NYREE (MSW)
Entity type:Individual
Prefix:MS
First Name:NYREE
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:HOOLEHUA
Mailing Address - State:HI
Mailing Address - Zip Code:96729-0051
Mailing Address - Country:US
Mailing Address - Phone:808-336-1726
Mailing Address - Fax:
Practice Address - Street 1:785 ALA ELUA ST
Practice Address - Street 2:
Practice Address - City:HOOLEHUA
Practice Address - State:HI
Practice Address - Zip Code:96729
Practice Address - Country:US
Practice Address - Phone:808-336-1726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker