Individual
BARRY SOOHYUN KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 BENMORE DR, SUITE 100, WINTER PARK, FL 32792-4143
(407) 644-4883
(407) 644-3697
Mailing address
133 BENMORE DR, SUITE 100, WINTER PARK, FL 32792-4143
(407) 644-4883
(407) 644-3697
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME96178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000484300
—
FL
01
—
01220205
AMERIGROUP
—
Enumeration date
05/11/2008
Last updated
12/27/2021
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