Individual
DR. JISUN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 388-4242
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(577) 388-3198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
T-4119
MS
208M00000X
Hospitalist Physician
Primary
0102207955
VA
Other
Enumeration date
07/01/2020
Last updated
04/11/2024
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