Individual
SEWON KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-8662
(410) 955-8645
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301059208
MI
207N00000X
Dermatology Physician
Primary
D68469
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020359900
—
MD
05
—
2856760
—
MI
Enumeration date
10/10/2006
Last updated
09/13/2022
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