Active NPIIndividual provider

Myungjee Kang, PHYSICIAN ASSISTANT

Physician Assistant in Springfield, Massachusetts

NPI Number1124607502
Practice location
125 Liberty St Ste 205, Springfield, MA 01103-1109
Fax
—
Last updated
March 29, 2023

Myungjee Kang is a Physician Assistant based in Springfield, MA. Myungjee Kang practices in Springfield, MA and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Myungjee Kang is 1124607502 and holds a License No. PA8067 (MA). The current practice location address for Myungjee Kang is 125 Liberty St Ste 205, Springfield, MA 01103-1109 and can be reached out via phone at 413-271-7140.

Provider Profile Details

NPI Number
1124607502
Provider Name
Myungjee Kang
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
125 Liberty St Ste 205, Springfield, MA 01103-1109
Phone Number
413-271-7140
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2021
Last Update Date
March 29, 2023
Certification Date
March 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Liberty St Ste 205
Springfield, MA 01103-1109
Zip
01103-1109
Phone Number
413-271-7140
Springfield, MA 01103Get directions →

Provider Business Mailing Address Details

Address
125 Liberty St Ste 205
Springfield, MA 01103-1109
City
Springfield
State
MA
Zip
01103-1109
Phone Number
413-271-7136

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA8067
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Myungjee Kang, PHYSICIAN ASSISTANT?

The NPI number of Myungjee Kang, PHYSICIAN ASSISTANT is 1124607502. It was assigned on April 5, 2021 and is currently active in the NPPES registry.

What is the specialty of Myungjee Kang, PHYSICIAN ASSISTANT?

Myungjee Kang, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA8067.

Where does Myungjee Kang, PHYSICIAN ASSISTANT practice?

The practice location is 125 Liberty St Ste 205, Springfield, MA 01103-1109. The office can be reached at 413-271-7140 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124607502 directly on the NPPES registry website.

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