Cheng, Kellvan J
Cheng, Kellvan J is an individual health care provider with primary practice located at 4425 Plano Pkwy Ste 1702 , Carrollton TX 75010-5038. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cheng, Kellvan J can be contacted via phone (214) 710-1028.Contact Information
Primary practice address
4425 Plano Pkwy Ste 1702
Carrollton TX 75010-5038
Phone: (214) 710-1028
Fax: (214) 710-1029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1763 | Texas |
Profile Details
| NPI number | 1538187067 |
|---|---|
| LBN Legal business name | Cheng, Kellvan J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jun 7th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538187067 | NPPES |
| Texas | Other | 7061140 | AETNA |
| Texas | Other | 42SV | AETNA |
| Texas | Other | 7127822 | AETNA |
| Texas | Other | 8W2360 | AETNA |
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