Kenny Chan, MD
Otolaryngology, Pediatric Otolaryngology in Aurora, CO. Individual provider (NPI-1).
NPI number1861595654
StatusActive
Last updated in NPPESOct 5, 2012
Details
- NPI
- 1861595654
- Entity type
- Individual (NPI-1)
- Name
- Kenny Chan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Oct 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YP0228X | Otolaryngology, Pediatric Otolaryngology | 32700 | CO | Yes |
Practice location
13123 E 16th AveAurora, CO 80045-7106
Phone 720-777-1234
Mailing address
Po Box 110429Aurora, CO 80042-0429
Phone 303-493-7000
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