Julian Kang, PA-C
Physician Assistant in Baltimore, MD. Individual provider (NPI-1).
NPI number1962014233
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1962014233
- Entity type
- Individual (NPI-1)
- Name
- Julian Kang
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C0007603 | MD | Yes |
Practice location
3407 Wilkens Ave Ste 250Baltimore, MD 21229-5222
Phone 410-646-4800
Mailing address
3407 Wilkens Ave Ste 250Baltimore, MD 21229-5222
Phone 410-646-4800
Other practice locations
11055 Little Patuxent Pkwy Ste L1
Columbia, MD 21044-2897
Columbia, MD 21044-2897
Phone 410-646-4800
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