Chan, Kevin Kien Man

Chan, Kevin Kien Man is an individual health care provider with primary practice located at 751 S Bascom Ave Anesthesiology Dept, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chan, Kevin Kien Man can be contacted via phone (408) 885-5745.

Contact Information

Primary practice address
751 S Bascom Ave Anesthesiology Dept San Jose CA 95128-2604
Phone: (408) 885-5745
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A55542 California

Profile Details

NPI number 1083680730
LBN Legal business name Chan, Kevin Kien Man
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Sep 10th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083680730 NPPES
California MEDICAID 00A555420

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