Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Lani Chan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174125777

Kelly Lani Chan is a Student in an Organized Health Care Education/Training Program in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

6405 Mira Mesa Blvd Ste 210
San Diego, CA 92121-4146
Phone: (866) 701-6565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174125777
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 5, 2020

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