Tai Kyun Kang, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

TK031690 Issued in MI

Practice address

401 S Ballenger Hwy
Flint, MI 48532-3638

Phone

(810) 610-4058

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tai K. Kang, M.D., P.C.

  • Psychiatry Physician
  • Flint, MI
  • NPI 1144420415
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1336257443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9395 BURNING TREE DRIVE",
            "address_2": "PO BOX 460",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484800460",
            "telephone_number": "810-423-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-610-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "TAI",
        "middle_name": "KYUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "TK031690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ENTITY",
            "identifier": "1144420415",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105G998",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "2622742",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omer Kamal Ahmed Elobeid
• Mohamed Kambal, MD
• Tammara Kamei
• Vamshi Krishna Kandhiraju, PT
• Kang Kwon MD, PC
• Mark Masao Kanzawa, D.O.
• Abed Kanzy Abbas Kanzy, M.D
• Nathan Kapa, C.P.
• Kappel Elite LLC (Lisa Lindsay C.F.N.P, MSN)
• Kaprees Healing Corner Counseling

• Psychiatry Physician in Flint, MI
• Providers in Flint, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.