Individual
DR. SHENGGANG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
627 W FOURTH ST, EASTERN STATE HOSPITAL, LEXINGTON, KY 40508-1294
(859) 246-7651
(859) 246-7023
Mailing address
627 W FOURTH ST, EASTERN STATE HOSPITAL, LEXINGTON, KY 40508-1294
(859) 246-7651
(859) 246-7023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37575
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
05
—
37575
—
KY
Enumeration date
06/26/2006
Last updated
07/09/2007
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