KENNETH KANG (NPI# 1760003602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760003602 |
| Entity Type | Individual |
| Full Name | KENNETH KANG |
| Credential | DO |
| Practice Address |
1201 E 36th Ave Anchorage AK 99508-4372 |
| Mailing Address |
Po Box 4105 Portland OR 97208-4105 |
| Practice Telephone | 9075629229 |
| Mailing Telephone | 8669071068 |
| Mailing Fax Number | 4259179141 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760495980 | Kenneth Myungdei Kang | Dermatology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-08-15 |
| Street Address |
1201 E 36TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821080888 | Thomas Samuel Nighswander | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508 | 2005-08-16 |
| 1811518897 | Maegan E Lange | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1174144018 | Delana Eby | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1508487448 | James Fabiszak | Student in an Organized Health Care Education/Training Program | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1164043014 | Seth Workentine | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1285255141 | Victoria Saturnino | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1033730015 | Samuel C Castles | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1295356178 | Carly T Craig | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1659992592 | Benjamin Lentz | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1548881485 | Melissa Liner | Family Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669088860 | Roxie Powell | Student in an Organized Health Care Education/Training Program | 1205 E Intl Airport Rd Ste 100, Anchorage, AK 99518-1409 | 2020-09-22 |
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1649808221 | Morgan Taylor Noad | Student in an Organized Health Care Education/Training Program | 11311 Pyramid Dr Apt 9, Anchorage, AK 99516-1368 | 2020-03-30 |
| 1669856928 | Sophie Howell | Student in an Organized Health Care Education/Training Program | 4325 Laurel St Ste 100and, Anchorage, AK 99508-5364 | 2015-07-16 |
| 1720188865 | Carolyn Elizabeth Phillips | Student in an Organized Health Care Education/Training Program | 610 E 5th, Anchorage, AK 99501 | 2006-09-25 |
| 1508487448 | James Fabiszak | Student in an Organized Health Care Education/Training Program | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2020-05-01 |
| 1922633650 | Laura Cantrell | Student in an Organized Health Care Education/Training Program | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2020-03-03 |
| 1598399602 | Alex John Olson | Student in an Organized Health Care Education/Training Program | 4441 Diplomacy Dr, Anchorage, AK 99508-5910 | 2020-02-27 |
| 1952934663 | Samantha H Savage | Student in an Organized Health Care Education/Training Program | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2020-02-20 |
| 1194389783 | James Mckinney | Student in an Organized Health Care Education/Training Program | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2019-04-29 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.