Individual
HEEEUN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 LANIER RD, MADISON, AL 35758-1866
(256) 265-5970
(256) 265-5971
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-5970
(256) 265-5971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37699
AL
208M00000X
Hospitalist Physician
075078
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225815
—
AL
Enumeration date
04/01/2013
Last updated
04/19/2019
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