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NPI Code Detail

MEDICARE: ERIKA KANG FNP-C, PMHNP-BC

MEDICARE: ERIKA KANG FNP-C, PMHNP-BC
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
1363LF0000XFamily Nurse PractitionerRN183709GA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN183709GA

General Provider Information

NPI Number : 1639568066
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA KANG FNP-C, PMHNP-BC
Provider Business Mailing Address
First Line : 5965 PARKWAY NORTH BLVD STE C
Second Line :
City : CUMMING
State : GA
Zip : 30040-1431
Country : US
Telephone Number : 770-886-5700
Fax Number : 770-886-0404
Provider Business Practice Location Address
First Line : 5965 PARKWAY NORTH BLVD STE C
Second Line :
City : CUMMING
State : GA
Zip : 30040-1431
Country : US
Telephone Number : 770-886-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2015
Last Update Date : 06/09/2021

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