Kelvin Phan, MSED, ATC, PES
Specialist/Technologist, Athletic Trainer in Springfield, Massachusetts
1801208855- Practice location
- 263 Alden St, Springfield, MA 01109-3707
- Phone
- 713-269-0120
- Fax
- —
- Last updated
- January 13, 2017
Kelvin Phan is a Specialist/Technologist, Athletic Trainer based in Springfield, MA. Kelvin Phan practices in Springfield, MA and has the professional credentials of MSED, ATC, PES. The NPI Number for Kelvin Phan is 1801208855 and holds a License No. 2948 (MA). The current practice location address for Kelvin Phan is 263 Alden St, Springfield, MA 01109-3707 and can be reached out via phone at 713-269-0120.
Provider Profile Details
- NPI Number
- 1801208855
- Provider Name
- Kelvin Phan
- Credential
- MSED, ATC, PES
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 263 Alden St, Springfield, MA 01109-3707
- Phone Number
- 713-269-0120
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 27, 2014
- Last Update Date
- January 13, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 263 Alden St
Springfield, MA 01109-3707 - City
- Springfield
- State
- Massachusetts
- Zip
- 01109-3707
- Phone Number
- 713-269-0120
Provider Business Mailing Address Details
- Address
- 194 Laconia St
Springfield, MA 01129-1111 - City
- Springfield
- State
- MA
- Zip
- 01129-1111
License Information
- License Number
- 2948
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kelvin Phan, MSED, ATC, PES?
The NPI number of Kelvin Phan, MSED, ATC, PES is 1801208855. It was assigned on May 27, 2014 and is currently active in the NPPES registry.
What is the specialty of Kelvin Phan, MSED, ATC, PES?
Kelvin Phan, MSED, ATC, PES is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2948.
Where does Kelvin Phan, MSED, ATC, PES practice?
The practice location is 263 Alden St, Springfield, MA 01109-3707. The office can be reached at 713-269-0120 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801208855 directly on the NPPES registry website.