Individual
JAY JONGMAN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
14535 JOHN MARSHALL HWY STE 201, GAINESVILLE, VA 20155-4024
(703) 753-6184
Mailing address
13655 FOREST POND CT, CENTREVILLE, VA 20121-3012
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0024184884
VA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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