Tai K. Kang, M.d., P.c. | |
401 S Ballenger Hwy Flint MI 48532-3638 | |
(810) 610-4058 | |
Not Available |
Full Name | Tai K. Kang, M.d., P.c. |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 401 S Ballenger Hwy, Flint, Michigan |
Authorized Official Name and Position | Tai K Kang (PRESIDENT) |
Authorized Official Contact | 8106104058 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tai K. Kang, M.d., P.c. 9395 Burning Tree Dr Po Box 460 Grand Blanc MI 48480 Ph: (810) 610-4058 | Tai K. Kang, M.d., P.c. 401 S Ballenger Hwy Flint MI 48532-3638 Ph: (810) 610-4058 |
NPI Number | 1144420415 |
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Provider Enumeration Date | 07/24/2007 |
Last Update Date | 11/07/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144420415 | NPI | - | NPPES |
1059998 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | TK031690 (Michigan) | Primary |
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