# JEANWAN KANG

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134242258
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 231438 | MA | — |
| 2086S0129X | Vascular Surgery Physician | 1.082045 | CT | Yes |
| 2086S0129X | Vascular Surgery Physician | 18326 | NH | — |
| 2086S0129X | Vascular Surgery Physician | 35120023 | OH | — |
| 2086S0129X | Vascular Surgery Physician | D92768 | MD | — |
| 2086S0129X | Vascular Surgery Physician | LT-3858 | NH | — |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 07/01/2025