SONG KANG, PHYSICIAN ASSISTANT
Physician Assistant - Medical
Active
Individual
NPI: 1366927741
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | No | 085006761 (IL) |
| Physician Assistant - Medical | 363AM0700X | Yes | 085006761 (IN) |
Frequently Asked Questions
NPI 1366927741 is the National Provider Identifier for SONG KANG, PHYSICIAN ASSISTANT, a Physician Assistant - Medical provider located in Decatur, IL. This NPI was enumerated on October 1, 2018.
SONG KANG, PHYSICIAN ASSISTANT practices at 320 E CENTRAL AVE, Decatur, IL 62521.
Quick Facts
- NPI
- 1366927741
- Type
- Individual
- Enumerated
- Oct 1, 2018
- Last Updated
- Oct 10, 2018
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