Kang, Song

Kang, Song is an individual health care provider with primary practice located at 320 E Central Ave , Decatur IL 62521-4665. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Kang, Song can be contacted via phone (217) 877-4694.

Contact Information

Primary practice address
320 E Central Ave Decatur IL 62521-4665
Phone: (217) 877-4694
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 085006761 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085006761 Indiana

Profile Details

NPI number 1366927741
LBN Legal business name Kang, Song
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2018
Last updated Oct 10th, 2018 - about 7 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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