KEVIN TYAN

SALT LAKE CITY, UT
NPI1740862887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  63237)
Enumeration Date2021-04-27
Last Update Date2023-11-22
Business Address
KEVIN TYAN
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-581-7766
Mailing Address
KEVIN TYAN
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-581-7766
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