NPI 1760495980 · live from the CMS NPI Registry
Kenneth Myungdei Kang, M.D.
Dermatology in Clackamas, OR. National Provider Identifier 1760495980, active.
NPI record
| NPI | 1760495980 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 9900 Se Sunnyside Rd, Clackamas, OR 97015 |
| Practice phone | 503-571-0000 |
| Enumerated | August 15, 2006 |
| Last updated | July 10, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | MD17781 (OR) |
| Dermatology | 207N00000X | MD00033534 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.