Provider Demographics
NPI:1194722926
Name:KANG, JING (PHARM D)
Entity type:Individual
Prefix:
First Name:JING
Middle Name:
Last Name:KANG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 COPLEY PL
Mailing Address - Street 2:SUITE 600
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-6502
Mailing Address - Country:US
Mailing Address - Phone:617-748-6130
Mailing Address - Fax:
Practice Address - Street 1:2 COPLEY PL
Practice Address - Street 2:SUITE 600
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-6502
Practice Address - Country:US
Practice Address - Phone:617-748-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26015183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist