Kelly Phan

NPI #1316601396 in Milpitas, California

Provider Information

NPI Number
1316601396
Entity Type
Individual
Name
Kelly Phan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 26, 2021
Last Updated
Nov 29, 2021

Practice Location

Address
1313 N MILPITAS BLVD STE 265
ZIP Code
95035-3190
Phone
(408) 770-9480

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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