Individual
DR. CHUNGKIL LEWIS KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
934 CENTER ST, ASHLAND, OH 44805-4063
(419) 289-3663
(419) 289-2199
Mailing address
934 CENTER ST, ASHLAND, OH 44805-4063
(419) 289-3663
(419) 289-2199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-039764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000106485
UNISON
OH
01
—
000000128733
ANTHEM
OH
05
—
0336176
—
OH
01
—
106485
UNITEDHEALTHCARE COMMU ITY PLAN
OH
01
—
1417957721
CGS ADMINISTRATORS, LLC
OH
01
—
34-1222038
FLORA
OH
01
—
341222038
HUMANA
OH
01
—
341222038-002
MEDICAL MUTUAL OF OHIO
OH
01
—
341222038027
CARESOURCE
OH
01
—
735309
BUCKEYE
OH
01
—
P00137396
RAILROAD MEDICARE
OH
Enumeration date
07/28/2005
Last updated
02/13/2012
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