Individual
DR. TAI KYUN KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 610-4058
Mailing address
9395 BURNING TREE DRIVE, PO BOX 460, GRAND BLANC, MI 48480-0460
(810) 423-2834
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
TK031690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105G998
—
MI
01
—
1144420415
NPI ENTITY
MI
01
—
2622742
HEALTH PLUS
MI
Enumeration date
08/28/2006
Last updated
11/07/2007
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