Michelle Kang

NPI #1972986651 in Peoria, Illinois

Provider Information

NPI Number: 1972986651
Entity Type: Individual
Name: Michelle Kang
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Enumeration Date: Jun 30, 2015
Last Updated: Jun 30, 2015

Practice Location

Address: 530 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61637-0001
Phone: (309) 655-7257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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