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Kevin Phan
NPI 1174907273 · on the registry since 2015 · sole proprietor
Practice
- Address
- 165 East 87th St 1rw
New York, CA 10128 - Phone
- (510) 396-8755
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California