person
Song Kang, PHYSICIANASSISTANT
Medical Physician Assistant in Decatur, Illinois
NPI 1366927741

Song Kang is a Medical Physician Assistant based in Decatur, IL and is specialized in Medical. Song Kang practices in Decatur, IL and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Song Kang is 1366927741 and holds a License No. 085006761 (Illinois).

The current practice location address for Song Kang is 320 E Central Ave, Decatur, IL and can be reached out via phone at 217-877-4694.

Location: 320 E Central Ave, Decatur, IL, 62526-9250
person
Provider Profile Details
NPI Number
1366927741
Provider Name
Song Kang
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
320 E Central Ave, Decatur, IL, 62526-9250
Phone Number
217-877-4694
Fax Number
Provider Enumeration Date
10/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 E Central Ave
City
State
Zip
62521-4665
Phone Number
217-877-4694
Fax Number
person
Provider Business Mailing Address Details
Address
320 E Central Ave
City
State
Zip
62521-4665
Phone Number
217-877-4694
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
085006761 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085006761 (Illinois)
Definition
Definition to come...
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