Kevin Tyan
Kevin Tyan is a Physician Assistant in Salt Lake City, Utah. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
375 S Chipeta WaySalt Lake City, UT 84108-1260
Phone: (801) 581-7766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 63237 (CA) |
|---|
Record details
| NPI number | 1740862887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 27, 2021 |
| Last updated in NPPES | November 22, 2023 |
| Certification date | November 22, 2023 |
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