Individual
SOPHIA KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 6TH AVE # W3, DES MOINES, IA 50314-2610
(515) 643-8350
(515) 643-5824
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-8350
(515) 643-5824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
47184
AZ
2084P0800X
Psychiatry Physician
Primary
MD-44475
IA
2084P0800X
Psychiatry Physician
R71721
AZ
208M00000X
Hospitalist Physician
MD-44475
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800904
—
AZ
Enumeration date
06/30/2010
Last updated
06/05/2023
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