Kenneth L Fan, M.D.
Plastic Surgery in Washington, DC. Individual provider (NPI-1).
NPI number1144586355
StatusActive
Last updated in NPPESSep 6, 2018
Details
- NPI
- 1144586355
- Entity type
- Individual (NPI-1)
- Name
- Kenneth L Fan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2012
- Last updated
- Sep 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | MD045855 | DC | Yes |
Practice location
3800 Reservoir Rd NwDepartment Of Plastic Surgery
Washington, DC 20007
Phone 202-444-1233
Mailing address
3800 Reservoir Rd NwDepartment Of Plastic Surgery
Washington, DC 20007-2113
Phone 202-444-1233
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