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KELLY PHAN
NPI 1003647371
Student in an Organized Health Care Education/Training Program in Chesapeake, VA

Active since August 09, 2024
1412 KEMP BRIDGE LN, CHESAPEAKE, VA 23320(757) 515-1349 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Phan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY PHAN (NPI 1003647371) is an individual student in an organized health care education/training program in Chesapeake, Virginia and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1003647371
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY PHAN
Location Address1412 KEMP BRIDGE LNChesapeake, VA 23320-5224
Mailing Address1412 Kemp Bridge LnChesapeake, VA 23320-5224
Phone(757) 515-1349
Sole ProprietorNo
Enumeration DateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
✔ NPI 1003647371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1412 KEMP BRIDGE LN, Chesapeake, VA 23320
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Phan's NPI number?

The NPI number for Kelly Phan is 1003647371. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Kelly Phan located?

Kelly Phan practices at 1412 Kemp Bridge Ln, Chesapeake, VA 23320. The listed phone number is (757) 515-1349.

What is Kelly Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Phan was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.