Tep M Kang is a Nutrition Support in Garnet Valley, Pennsylvania. Tep M Kang practices all healthcare services and medical treatments related to Nutrition Support. The NPI Number for Tep M Kang is 1164620183. The last update date is 2007-07-11.
Tep M Kang's current location address is 20 Clemson Dr, Garnet Valley, Pennsylvania. You can contact this provider via phone number 6103582235. The mailing address for Tep M Kang is 20 Clemson Dr, Garnet Valley, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tep M Kang |
|---|---|
| Address | 20 Clemson Dr, Garnet Valley, Pennsylvania |
| Phone Number | 6103582235 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARMD, BC |
NPI Number Detail
| NPI Number | 1164620183 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 20 Clemson Dr |
|---|---|
| City | Garnet Valley |
| State | Pennsylvania (PA) |
| Post Code | 190611621 |
| Phone Number | 6103582235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition Support |
|---|---|
| Taxonomy | 1835N1003X |
| Licence No | A1-002858 |
|
Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Tep M Kang by the Centers for Medicare & Medicaid Services?
The Tep M Kang has been assigned the NPI (National Provider Identifier) 1164620183. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tep M Kang is physically located?
The Tep M Kang is physically situated at the following address: 20 Clemson Dr, Garnet Valley, PA, 190611621.
What is the area of specialization for Tep M Kang, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tep M Kang is Nutrition Support, and the corresponding taxonomy code that categorizes this area of expertise is 1835N1003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164620183 to Tep M Kang?
The Centers for Medicare & Medicaid Services originally issued the 1164620183 to Tep M Kang on 2007-07-11.
When was the information pertaining to Tep M Kang most recently updated or revised?
The details related to Tep M Kang, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-11.