Kang, Chungkil Lewis

Kang, Chungkil Lewis is an sole proprietor health care provider with primary practice located at 934 Center St , Ashland OH 44805-4063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kang, Chungkil Lewis can be contacted via phone (419) 289-3663.

Contact Information

Primary practice address
934 Center St Ashland OH 44805-4063
Phone: (419) 289-3663
Fax: (419) 289-2199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-039764 Ohio

Profile Details

NPI number 1417957721
LBN Legal business name Kang, Chungkil Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Feb 13th, 2012 - about 12 years ago

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 1417957721 NPPES
Ohio MEDICAID 0336176
Ohio Other 1417957721
Ohio Other 34-1222038
Ohio Other 106485
Ohio Other 34-1222038
Ohio Other 341222038-002
Ohio Other 000000106485
Ohio Other 34-1222038
Ohio Other 34-1222038
Ohio Other 341222038027
Ohio Other 341222038
Ohio Other 34-1222038
Ohio Other 735309
Ohio Other 000000128733
Ohio Other P00137396

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