Kenneth Van Phan
Kenneth Van Phan is a Community Health Worker in Sacramento, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
2150 Stockton BlvdSacramento, CA 95817-1337
Phone: (916) 875-1000
Fax: (916) 875-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1225479371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 17, 2013 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
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