DR. CHUNGKIL LEWIS KANG M.D. NPI 1417957721

NPI Information

NPI: 1417957721
Provider Name: DR. CHUNGKIL LEWIS KANG, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
934 CENTER ST
ASHLAND, OH
ZIP 44805
Phone: (419) 289-3663
Get Directions

DR. Chungkil Lewis Kang, M.D. is a family medicine in Ashland, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Chungkil Lewis Kang, M.D. NPI is 1417957721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

934 CENTER ST
ASHLAND, OH
ZIP 44805-063
Phone: (419) 289-3663
Fax: (419) 289-2199

The enumeration date for this NPI number is 7/28/2005 and was last updated on 2/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		35-039764	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00137396	OTHER	OHIO	RAILROAD MEDICARE
2	34-1222038	OTHER	OHIO	PARAMOUNT
3	34-1222038	OTHER	OHIO	FLORA
4	341222038-002	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
5	34-1222038	OTHER	OHIO	AETNA
6	341222038027	OTHER	OHIO	CARESOURCE
7	C01459	MEDICARE UPIN	OHIO
8	106485	OTHER	OHIO	UNITEDHEALTHCARE COMMU ITY PLAN
9	1417957721	OTHER	OHIO	CGS ADMINISTRATORS, LLC
10	34-1222038	OTHER	OHIO	EMERALD
11	735309	OTHER	OHIO	BUCKEYE
12	34-1222038	OTHER	OHIO	UNITED HEALTHCARE
13	000000106485	OTHER	OHIO	UNISON
14	000000128733	OTHER	OHIO	ANTHEM
15	0336176	MEDICAID	OHIO
16	341222038	OTHER	OHIO	HUMANA
17	0434702	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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