Tan, Lung Kang

Tan, Lung Kang is an sole proprietor health care provider with primary practice located at 5202 Faraon St Ste A , Saint Joseph MO 64506-3840. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Tan, Lung Kang can be contacted via phone (816) 271-1067.

Contact Information

Primary practice address
5202 Faraon St Ste A Saint Joseph MO 64506-3840
Fax: (816) 271-1071
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2004035104 Missouri

Profile Details

NPI number 1205862778
LBN Legal business name Tan, Lung Kang
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated Oct 30th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205862778 NPPES
Missouri MEDICAID 301208005
Missouri Other P00353075

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