Song Kang, PHYSICIANASSISTANT
Song Kang, PHYSICIANASSISTANT is a Physician Assistant in Decatur, Illinois. Qualified in 2018, 8 years ago. Practices with Memorial Physician Services, a 158-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.
- Years since qualifying
- 8
- Licensed in
- IL, IN
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
320 E Central AveDecatur, IL 62521-4665
Phone: (217) 877-4694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 085006761 (IN) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 085006761 (IL) |
Record details
| NPI number | 1366927741 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | October 1, 2018 |
| Last updated in NPPES | October 10, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Memorial Physician Services — 158 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Decatur
-
Mrs. Solfia Medina Saulog, MD
1800 E Lake Shore Dr, Decatur, IL 62521-3810 · (217) 464-2870