KENNY PHAN

SANTA CLARA, CA
NPI1033931621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-10-25
Last Update Date2025-07-03
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
9259 PALMERSON DR
ANTELOPE, CA 95843-4613
Phone number: