Individual provider · Type 1 NPI

Song Kang, PHYSICIAN ASSISTANT

Medical Physician Assistant · Decatur, IL

NPI number 1366927741 Active

Practice location

320 E Central Ave
Decatur, IL 62521-4665

Call (217) 877-4694 Map

Mailing address

3727 N Northhaven Ct Apt 2A
Decatur, IL 62526-9250

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X085006761 (IL)
Medical Physician Assistant Primary 363AM0700X085006761 (IN)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1366927741

Song Kang, PHYSICIAN ASSISTANT's National Provider Identifier is 1366927741, issued on Oct 1, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, IL. The record was last updated on Oct 10, 2018.