Individual provider · Type 1 NPI

Kelly Chang

Student in an Organized Health Care Education/Training Program · Longview, TX

NPI number 1619666575 Active

Practice location

701 E Marshall Ave Ste 400
Longview, TX 75601-5595

Call (903) 315-1696 Map

Mailing address

1100 Mccann Rd Apt F104
Longview, TX 75601-0035

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619666575

Kelly Chang's National Provider Identifier is 1619666575, issued on May 4, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longview, TX. The record was last updated on Jun 11, 2023.