Kang, Jill Catherine

Kang, Jill Catherine is an individual health care provider with primary practice located at 2430 20Th St Sw , Jamestown ND 58401. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Kang, Jill Catherine can be contacted via phone (701) 253-5300.

Contact Information

Primary practice address
2430 20Th St Sw Jamestown ND 58401
Phone: (701) 253-5300
Fax: (701) 253-5402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002296 Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 64 North Dakota

Profile Details

NPI number 1356618870
LBN Legal business name Kang, Jill Catherine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2011
Last updated Jun 10th, 2013 - about 13 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 1356618870 NPPES
North Dakota MEDICAID 17780

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