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Contact Information

KENNETH K CHAN, MSPA PAC
11 BISHOP PLACE
OCCUPATIONAL HEALTH DEPT B3
NEW BRUNSWICK, NJ08901
 Phone: 732-932-8254
 Fax: 732-932-8254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KENNETH K CHAN · (Male)

NPI Number 1336306083
Status Active
Credentials MSPA PAC
Entity Individual
Enumeration date 05/20/2008
Last updated 04/08/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MP00098600
Hospital affiliation(s) Not Available
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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