Individual
DR. JONATHAN KYU CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-5942
Mailing address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0035
(877) 874-1019
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
989250
TX
171000000X
Military Health Care Provider
—
—
363LF0000X
Family Nurse Practitioner
989250
TX
Other
Enumeration date
04/29/2021
Last updated
04/17/2026
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