Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Byunghun Kang

Individual provider Physician Assistant · NPI 1417657305

Paul Byunghun Kang is a Physician Assistant in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
4
Licensed in
AZ, IL
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

500 W Thomas Rd Ste 750&850
Phoenix, AZ 85013-4224
Phone: (602) 406-1150
Fax: (602) 406-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 485 S Dobson Rd Ste 203, Chandler, AZ 85224-5604 — (480) 728-2690
  • 305 W Jackson St Ste 206, Carbondale, IL 62901-1474 — (618) 457-5200
  • 611 W Park St, Urbana, IL 61801-2529 — (217) 383-3311

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11122 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 11122 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 085009645 (IL)

Record details

NPI number1417657305
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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