Kenneth Kang, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Anchorage, AK
NPI 1760003602 · NPPES record last updated May 1, 2020
Key facts
- NPI
- 1760003602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1201 E 36TH Ave
Anchorage, AK 99508-4372 - Phone
- (907) 562-9229
- NPI assigned
- May 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230928002162 | AK | Practitioner - Family Practice | 5799108932 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Sound Health Corporation | Current |
Accepting new patients | |
| Norton Sound Health Corporation | Current | Accepting new patients | |
| Norton Sound Health Corporation | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1201 E 36TH Ave
Anchorage, AK 99508-4372
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068
Other providers in Anchorage, AK
- Kanady Chiropractic Center, Inc
- Timothy K Kanady
- Krista Kandrick
- Julie Kane
- Shawn Kane
- Roger Youn Jin Kang
- Alysha Kuuipo Kanohokula-Keaweamahi
- Carly Noel Kantrowitz
- Mohamed Kanu
- Christopher C Kaplan
All providers in Anchorage, AK · Student in an Organized Health Care Education/Training Program in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.