# DR. WADE WEI KANG

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

## Provider details

- **NPI number:** 1164612453
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 4301106309 | MI | — |
| 208600000X | Surgery Physician | MT 181967 | PA | — |
| 2086S0129X | Vascular Surgery Physician | 036125531 | IL | — |
| 2086S0129X | Vascular Surgery Physician | 40725 | IA | Yes |
| 2086S0129X | Vascular Surgery Physician | 4301106309 | MI | — |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 11/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036125531 | — | IL |
| 05 | — | 040113 | — | IA |
| 05 | — | 10026291800 | — | NE |
| 05 | — | 201007480B | — | IN |