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Individual
KENNETT LAM TRAN
Active
Individual
KENNETT LAM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95020549
CA
207RC0000X
Cardiovascular Disease Physician
95020549
CA
363L00000X
Nurse Practitioner
Primary
95020549
CA
363LA2200X
Adult Health Nurse Practitioner
95020549
CA
363LF0000X
Family Nurse Practitioner
95020549
CA
Other
Enumeration date
02/01/2023
Last updated
12/30/2025
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