Healthcare Provider Details

I. General information

NPI: 1992709471
Provider Name (Legal Business Name): HYUNG-CHIL KANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 10/22/2026
Certification Date: 10/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NE NEFF RD
BEND OR
97701-6015
US

IV. Provider business mailing address

2610 UHRMANN RD
KLAMATH FALLS OR
97601-1123
US

V. Phone/Fax

Practice location:
  • Phone: 541-706-5800
  • Fax: 541-706-5911
Mailing address:
  • Phone: 541-274-4171
  • Fax: 541-274-4174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number01058135A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number01058135A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number37104
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number84386
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number37104
License Number StateWV
# 6
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4301082714
License Number StateMI
# 7
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD208228
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: