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Contact Information

KENNETH L FAN, MD
3800 RESERVOIR RD NW
DEPARTMENT OF PLASTIC SURGERY
WASHINGTON, DC20007
 Phone: 202-444-1233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH L FAN · (Male)

NPI Number 1144586355
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2012
Last updated 09/06/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • DC License # MD045855
Hospital affiliation(s)
  • GEORGETOWN UNIVERSITY HOSPITAL - (Acute Care)
    3800 RESERVOIR RD
    WASHINGTON, DC 20007
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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