Chang, Kevin J

Chang, Kevin J is an sole proprietor health care provider with primary practice located at 700 W Ironwood Dr Suite 336, Coeur D Alene ID 83814-2656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Chang, Kevin J can be contacted via phone (208) 765-1252.

Contact Information

Primary practice address
700 W Ironwood Dr Suite 336 Coeur D Alene ID 83814-2656
Phone: (208) 765-1252
Fax: (208) 765-1494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M9397 Idaho

Profile Details

NPI number 1578609830
LBN Legal business name Chang, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578609830 NPPES
Idaho MEDICAID 807244200

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