# DR. KATHERINE W FAN

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

## Provider details

- **NPI number:** 1720283294
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | MD429247 | PA | — |
| 2084P0800X | Psychiatry Physician | MD429247 | PA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A104114 | CA | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD429247 | PA | — |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 02/25/2010