Dr. Kevin Yin Shun Chan, DO
Family Medicine in Phoenix, AZ. Individual provider (NPI-1).
NPI number1528014248
StatusActive
Last updated in NPPESJul 7, 2022
Details
- NPI
- 1528014248
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Yin Shun Chan
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 25, 2006
- Certification date
- Jul 7, 2022
- Last updated
- Jul 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4101 | AZ | Yes |
Other names
- Kevin Y Chan (Other Name)
Practice location
12010 S Warner Elliot Loop Ste 1Phoenix, AZ 85044-2731
Phone 480-961-2366 · Fax 480-961-2367
Mailing address
12010 S Warner Elliot LoopSte 1
Phoenix, AZ 85044-2731
Phone 480-961-2366 · Fax 480-961-2367
Other practice locations
3196 N Windsong Dr
Prescott Valley, AZ 86314-2239
Prescott Valley, AZ 86314-2239
Phone 928-772-1505 · Fax 928-772-6343
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