Kevin Phan
NPI #1841180510 in Lacey, Washington
Provider Information
- NPI Number
- 1841180510
- Entity Type
- Individual
- Name
- Kevin Phan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Jul 5, 2025
- Last Updated
- Jul 5, 2025
Practice Location
- Address
- 4444 LACEY BLVD SE STE E
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-5730
- Phone
- (360) 999-9848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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