Healthcare Provider Details

I. General information

NPI: 1366956351
Provider Name (Legal Business Name): ESTHER K KANG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 RESTON PKWY STE 200
RESTON VA
20191-1244
US

IV. Provider business mailing address

25413 HARTLAND ORCHARD TER
CHANTILLY VA
20152-3254
US

V. Phone/Fax

Practice location:
  • Phone: 301-901-8309
  • Fax:
Mailing address:
  • Phone: 213-703-4347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0024175610
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: