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

Kelvin Dan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639602733

Kelvin Dan, MD is an Internal Medicine in Fort Defiance, Arizona. Graduated from University of North Dakota School of Medicine in 2017, 9 years ago. Practices with The Fort Defiance Indian Hospital Board, Incorporation, a 146-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Trained at
University of North Dakota School of Medicine
Licensed in
AZ
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 60692 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639602733
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2017
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 28, 2020
Mailing addressPo Box 649, Fort Defiance, AZ 86504-0649

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice The Fort Defiance Indian Hospital Board, Incorporation — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Defiance