MEDICARE: ESTHER K KANG NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	0024175610	VA

General Provider Information

NPI Number	:	1366956351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER K KANG NP

Provider Business Mailing Address
First Line	:	25413 HARTLAND ORCHARD TER
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20152-3254
Country	:	US
Telephone Number	:	213-703-4347
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 RESTON PKWY STE 200
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-1244
Country	:	US
Telephone Number	:	301-901-8309
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	03/05/2026

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