Ka Keung Chan, PhD
Pathology, Clinical Laboratory Director, Non-physician in West Henrietta, NY. Individual provider (NPI-1).
NPI number1336734292
StatusActive
Last updated in NPPESDec 15, 2023
Details
- NPI
- 1336734292
- Entity type
- Individual (NPI-1)
- Name
- Ka Keung Chan
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2021
- Certification date
- Jan 29, 2021
- Last updated
- Dec 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247ZC0005X | Pathology, Clinical Laboratory Director, Non-physician | – | NY | Yes |
Practice location
211 Bailey RoadWest Henrietta, NY 14586
Phone 585-275-8546 · Fax 585-272-0008
Mailing address
601 Elmwood AvenueBox 626
Rochester, NY 14642-0001
Phone 585-273-4135 · Fax 585-273-3637
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