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Kelly Lani Chan
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1174125777

Kelly Lani Chan is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Kelly Lani Chan practices in San Diego, CA. The NPI Number for Kelly Lani Chan is 1174125777 and holds a License No. (California).

The current practice location address for Kelly Lani Chan is 6405 Mira Mesa Blvd Ste 210, San Diego, CA and can be reached out via phone at 866-701-6565.

Location: 6405 Mira Mesa Blvd Ste 210, San Diego, CA, 92121-4146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174125777
Provider Name
Kelly Lani Chan
Credential
Provider Entity Type
Individual
Gender
Female
Address
6405 Mira Mesa Blvd Ste 210, San Diego, CA, 92121-4146
Phone Number
866-701-6565
Fax Number
Provider Enumeration Date
11/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6405 Mira Mesa Blvd Ste 210
City
San Diego
State
California
Zip
92121-4146
Phone Number
866-701-6565
Fax Number
person
Provider Business Mailing Address Details
Address
6405 Mira Mesa Blvd Ste 210
City
San Diego
State
California
Zip
92121-4146
Phone Number
866-701-6565
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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.
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