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Contact Information

KIM A DANG, P-AC
257 HIGHWAY 125
ROANOKE RAPIDS, NC27887
 Phone: 252-410-0001
 Fax: 252-410-0003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIM A DANG · (Female)

NPI Number 1295932457
Status Active
Credentials P-AC
Entity Individual
Enumeration date 06/29/2007
Last updated 12/07/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 85002978
  • NC License # 0010-01841
  • IL Other 85002978 PHYSICIAN ASST-LICENSED
  • NC Other 0010-01841 PHYSICIAN ASSISTANT LICENCE NUMBAER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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