Provider Demographics
NPI:1447124946
Name:KANG, ERIKA SONG
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:SONG
Last Name:KANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 ROSENWOOD CRK APT 402
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34785-9745
Mailing Address - Country:US
Mailing Address - Phone:352-825-8880
Mailing Address - Fax:
Practice Address - Street 1:2570 ROSENWOOD CRK APT 402
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-9745
Practice Address - Country:US
Practice Address - Phone:352-825-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter