Provider Demographics
NPI:1356628135
Name:KANG, HYUNG GI (DC)
Entity Type:Individual
Prefix:
First Name:HYUNG
Middle Name:GI
Last Name:KANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3585 PEACHTREE INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-6378
Mailing Address - Country:US
Mailing Address - Phone:770-495-0014
Mailing Address - Fax:
Practice Address - Street 1:3585 PEACHTREE INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-6378
Practice Address - Country:US
Practice Address - Phone:770-495-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR 007468111N00000X
NVB 01186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor