Dr. Kevin Chiayu Chan, D.O.
Hospitalist in Waukesha, WI. Individual provider (NPI-1).
NPI number1619363017
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1619363017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Chiayu Chan
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2015
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 68954 | WI | Yes |
Practice location
725 American AveWaukesha, WI 53188-5031
Phone 262-928-5400
Mailing address
725 American AveWaukesha, WI 53188-5031
Phone 262-928-5400
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