Individual
KANG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2315 MYRTLE ST STE L10, ERIE, PA 16502-4611
(814) 454-2401
(814) 459-5992
Mailing address
2315 MYRTLE ST STE L10, ERIE, PA 16502-4611
(814) 454-2401
(814) 453-5992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061061
PA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/14/2019
Last updated
10/02/2020
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