Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUNG KANG TAN, D.P.M.
Active Sole ProprietorDR. LUNG KANG TAN, D.P.M. is a Podiatrist healthcare provider located in SAINT JOSEPH, Missouri. NPI 1205862778 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SAINT JOSEPH, MO
Registration Details
- NPI Number
- 1205862778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2006 (20.139051642831 yrs)
- Last Updated
- Oct 30, 2017
- License
-
2004035104 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5202 FARAON ST STE ASAINT JOSEPH, MO, 645063840Browse MO providers · Browse ZIP 64506
- Phone
- 8162711067
- Fax
- 8162711071
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.