Individual
EDWARD T CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS, MBA
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4371
(859) 258-4326
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
60296
KY
207Y00000X
Otolaryngology Physician
79106
GA
207Y00000X
Otolaryngology Physician
MD17315
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101025060
—
KY
Enumeration date
06/06/2012
Last updated
06/23/2026
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