Kang, Myung Ja

Kang, Myung Ja is an individual health care provider with primary practice located at 5535 Delmar Boulevard , Saint Louis MO 63112-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kang, Myung Ja can be contacted via phone (314) 879-6363.

Contact Information

Primary practice address
5535 Delmar Boulevard Saint Louis MO 63112-0000
Phone: (314) 879-6363
Fax: (314) 879-6372
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R7005 Missouri

Profile Details

NPI number 1932193976
LBN Legal business name Kang, Myung Ja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 21st, 2011 - about 14 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 1932193976 NPPES
Missouri MEDICAID 201417706

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