Individual
DR. KAVITA A.J. KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3333 BURNET AVE, LOCATION E, FLOOR 4, MLC 5018, CINCINNATI, OH 45229-3026
(513) 636-9900
(513) 803-0823
Mailing address
3333 BURNET AVE, LOCATION E, FLOOR 4, MLC 5018, CINCINNATTI, OH 45229-3026
(513) 636-9900
(513) 803-0823
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34.010993
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2630700
MEDICAID GROUP
OH
01
—
9358461
MEDICARE GROUP
OH
Enumeration date
06/12/2007
Last updated
05/21/2019
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