KENNETH KANG DO
NPI 1760003602
Student in an Organized Health Care Education/Training Program in Anchorage, AK

Q: What is Kenneth Kang's NPI number?

The NPI number for Kenneth Kang is 1760003602. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Q: What is Kenneth Kang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Kang was last updated on May 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2020PECOS Enrolled

1201 E 36TH AVE, ANCHORAGE, AK 99508(907) 562-9229 Get Directions Write a Review

NPPES record last updated: May 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth Kang Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH KANG DO (NPI 1760003602) is an individual student in an organized health care education/training program in Anchorage, Alaska and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760003602

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKENNETH KANGCredential: DO

Location Address1201 E 36TH AVEAnchorage, AK 99508-4372

Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141

Phone(907) 562-9229

Sole ProprietorNo

Enumeration DateMay 1, 2020

NPPES CertifiedMay 1, 2020

✔ NPI 1760003602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1201 E 36TH AVE, Anchorage, AK 99508

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Kang Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND PASTORINO PHD

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