Elisha Kang , RT(R)
Technician/Technologist • Duluth, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elisha Kang has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Elisha Kang, RT(R) was a registered Technician/Technologist practicing in Duluth, GA. Throughout an active medical career spanning 2 years, Elisha Kang provided care at the practice location at 4095 IVY RUN CIR until profile deactivation on 2025-04-17.
Practice Location & Contact Primary Location
4095 Ivy Run Cir
Duluth, GA 300965370
Specialty Benchmarks & Practice Insights
Comparative analytics for Technician/Technologist in Duluth, GA
Practicing in Duluth, GA (72 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 156F00000X
A broad category grouping different kinds of technologists and technicians. See individual definitions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 17, 2025
Record deactivated on April 16, 2025
NPI status registered as active in NPPES database
Registered at 4095 IVY RUN CIR, DULUTH, GA 300965370 (Tel: 4707749764)
Registered at 4095 IVY RUN CIR, DULUTH, GA 300965370 (Tel: 4707749764)
Recorded as ELISHA KANG, R.T.(R)
Technician/Technologist (License #1061513 in GA)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
4095 Ivy Run Cir
Duluth, GA 300965370
Phone: 4707749764
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