Provider Demographics
NPI:1548071483
Name:KANG, KATHRYN STRONG (SLP-CCC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:STRONG
Last Name:KANG
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 MARKET ST STE 202
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-6529
Mailing Address - Country:US
Mailing Address - Phone:803-281-0185
Mailing Address - Fax:
Practice Address - Street 1:951 MARKET ST STE 202
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6529
Practice Address - Country:US
Practice Address - Phone:803-281-0185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSLP.9123235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist