KENNY PHAN

SANTA CLARA, CA
NPI1033931621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-10-25
Last Update Date2025-11-03
Business Address
KENNY PHAN PA-C
700 LAWRENCE EXPY
SANTA CLARA, CA 95051-5173
Phone number: 408-851-1000
Mailing Address
KENNY PHAN PA-C
710 LAWRENCE EXPY DEPT 348
SANTA CLARA, CA 95051-5173
Phone number: