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Individual
MR. KENNETH KIAN-LIP CHAN
Active
Individual
MR. KENNETH KIAN-LIP CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPA PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00098600
NJ
Other
Enumeration date
05/20/2008
Last updated
04/08/2010
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