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NPI Code Detail

MEDICARE: DR. LAURA CHANG KIT M.D.

MEDICARE: DR. LAURA CHANG KIT M.D.
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
1208800000XUrology Physician45982TN
2208800000XUrology Physician004059NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790098333
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA CHANG KIT M.D.
Provider Business Mailing Address
First Line : 11181 HEALTH PARK BLVD STE 1115
Second Line :
City : NAPLES
State : FL
Zip : 34110-5742
Country : US
Telephone Number : 239-597-4440
Fax Number : 239-597-4441
Provider Business Practice Location Address
First Line : 11181 HEALTH PARK BLVD STE 1115
Second Line :
City : NAPLES
State : FL
Zip : 34110-5742
Country : US
Telephone Number : 239-597-4440
Fax Number : 239-597-4441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2010
Last Update Date : 08/21/2020

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Directions to “ DR. LAURA CHANG KIT M.D.” Practice Location

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