Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenneth Shu-Wen Tan, MD

Individual provider Family Medicine Physician · NPI 1699039594

Kenneth Shu-Wen Tan, MD is a Family Practice in Columbia, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2012, 14 years ago. Practices with Saint Lukes Hospital of Chillicothe, a 24-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3217 S Providence Rd
Columbia, MO 65203-3639
Phone: (573) 884-7733
Fax: (573) 882-6228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2012020842 (MO)

Record details

NPI number1699039594
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESJune 26, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Saint Lukes Hospital Of Chillicothe — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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