Kevin Phan
NPI #1174907273 in New York, California
Provider Information
- NPI Number
- 1174907273
- Entity Type
- Individual
- Name
- Kevin Phan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 17, 2015
- Last Updated
- Feb 11, 2022
Practice Location
- Address
- 165 EAST 87TH ST 1RW
- City
- New York
- State
- California
- ZIP Code
- 10128
- Phone
- (510) 396-8755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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