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Song Kang, PHYSICIAN ASSISTANT
NPI 1366927741 · on the registry since 2018
Practice
- Address
- 320 E Central Ave
Decatur, IL 62521 - Phone
- (217) 877-4694
- Organisation at this address
- Lake Of Decatur Inc
Community Health Improvement Center
Community Health Improvement Center Dba Crossing Healthcare
Community Health Improvement Center Dba Crossing Healthcare
Community Health Improvement Center Dba Crossing HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- General Practice Physician
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois