Kang, Ji Yeong

Kang, Ji Yeong is an sole proprietor health care provider with primary practice located at 133 Route 3 , Dededo GU 96929-6911. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kang, Ji Yeong can be contacted via phone (671) 645-5500.

Contact Information

Primary practice address
133 Route 3 Dededo GU 96929-6911
Phone: (671) 645-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M-1829 Guam
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-17465 Hawaii
Hospitals / General Acute Care Hospital 282N00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M-1829 Guam

Profile Details

NPI number 1790903805
LBN Legal business name Kang, Ji Yeong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2007
Last updated Jun 24th, 2019 - 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 1790903805 NPPES
Guam MEDICAID H110000

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