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Dr. Kenneth Phan, MD
Obstetrics & Gynecology Physician in San Jose, California
NPI 1336250836

Kenneth Phan is a Obstetrics & Gynecology Physician based in San Jose, CA. Kenneth Phan practices in San Jose, CA and has the professional credentials of MD. The NPI Number for Kenneth Phan is 1336250836 and holds a License No. A77173 (California).

The current practice location address for Kenneth Phan is 150 N Jackson Ave, San Jose, CA and can be reached out via phone at 408-929-2680 and via fax at 408-929-4635.

Location: 150 N Jackson Ave, San Jose, CA, 95116-1908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336250836
Provider Name
Kenneth Phan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 N Jackson Ave, San Jose, CA, 95116-1908
Phone Number
408-929-2680
Fax Number
408-929-4635
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A771730 05 CA
institution
Provider Business Practice Location Address Details
Address
150 N Jackson Ave
City
San Jose
State
California
Zip
95116-1908
Phone Number
408-929-2680
Fax Number
408-929-4635
person
Provider Business Mailing Address Details
Address
150 N Jackson Ave
City
San Jose
State
California
Zip
95116-1908
Phone Number
408-929-2680
Fax Number
408-929-4635
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
A77173 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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