Doctor Name: | KAVITA A.J. KANG |
NPI Number: | 1851595110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 34.010993 |
Business Practice Address: | 2400 Corporate Exchange Dr Suite 102 Columbus, OH - 432317605 |
Business Phone Number: | 6145057633 |
Business Fax Number: | |
Mailing Address: | 2400 Corporate Exchange Dr, Suite 102 COLUMBUS |
State: | OH |
Postal Code: | 432317605 |
Phone Number: | 6145057633 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 10/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34.010993 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |