Individual provider · NPI-1

Kaiyang Feng, DO

Student in an Organized Health Care Education/Training Program · Texarkana, AR

NPI number1689378754
StatusActive
Last updated in NPPESApr 2, 2026

Details

NPI
1689378754
Entity type
Individual (NPI-1)
Name
Kaiyang Feng
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 30, 2023
Certification date
Apr 2, 2026
Last updated
Apr 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6000 · Fax 870-779-6055

Mailing address

3417 U Of A Way
Texarkana, AR 71854-1419

Phone 870-779-6000 · Fax 870-779-6055

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