Individual
DR. MYUNG JA KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5535 DELMAR BOULEVARD, SAINT LOUIS, MO 63112-0000
(314) 879-6363
(314) 879-6372
Mailing address
5535 DELMAR BLVD, SAINT LOUIS, MO 63112-3005
(314) 879-6363
(314) 879-6372
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R7005
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201417706
—
MO
Enumeration date
09/06/2005
Last updated
07/21/2011
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