# MR. KENNETH KIAN-LIP CHAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336306083
- **Gender:** Man
- **Credential:** MSPA PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 25MP00098600 | NJ | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 04/08/2010