Individual
KAE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 S WOODS MILL RD, SUITE 435 SOUTH, CHESTERFIELD, MO 63017-3513
(314) 576-2394
(314) 590-5937
Mailing address
224 S WOODS MILL RD, SUITE 435 SOUTH, CHESTERFIELD, MO 63017-3513
(314) 576-2394
(314) 590-5937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108257
MO
208M00000X
Hospitalist Physician
108257
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316910243
—
IL
05
—
203819313
—
MO
Enumeration date
02/10/2006
Last updated
03/15/2017
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