Doctor Name: | MS. SARAH J KANG |
NPI Number: | 1013280288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 0024169827 |
Business Practice Address: | 555 Herndon Pkwy # 100 Herndon, VA - 20170 |
Business Phone Number: | 7034811505 |
Business Fax Number: | 7037428793 |
Mailing Address: | Po Box 791128, BALTIMORE |
State: | MD |
Postal Code: | 21279 |
Phone Number: | 7033912030 |
Fax Number: | 7032733943 |
NPI Enumeration Date: | 02/17/2012 |
NPI Last Update Date: | 12/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024169827 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |