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

Kelly Phan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003647371

Kelly Phan is a Student in an Organized Health Care Education/Training Program in Chesapeake, Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1412 Kemp Bridge Ln
Chesapeake, VA 23320-5224
Phone: (757) 515-1349
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 number1003647371
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address1412 Kemp Bridge Ln, Chesapeake, VA 23320-5224

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